INSTITUTE OF CHEMICAL SCIENCES

UNIVERSITY OF PESHAWAR

Two Day National Workshop

on

Bioanalytical Techniques

(April 25-26, 2019)

Registration Form

• Name:__________________________________________________________________________________
• Father’s Name___________________________________________________________________________
• Class: __________________ Semester: __________________

Institution Address________________________________________________________________________________

_______________________________________________________________________________________________

Mailing Address: _________________________________________________________________________________

______________________________________________________________________________________________

Phone (Res): ________________________                      Mobile: _____________________________                    

Fax: _______________________________ Email: ____________________________________________________

Signature: _____________________                               Date: _____________________________

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For office use only

Registration No: ____________                                                                                                      Date: _________________

Registration Fee: Rs. 500/-

Account Details:

Account Title: Alumni Department of Chemistry

Account Number: 15613-4

Bank: National Bank of Pakistan, Peshawar University Campus Branch (0388)

Note: Send this form at icsalumni@uop.edu.pk  or submit it directly to in the Institute of office along with registration fee or alternatively deposit registration fee in the above account and submit/send receipt along with registration form.

For any query please dial 091-9216652 or send email at icsalumni@uop.edu.pk

Last date of registration is 19-04-2019.

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Receipt

Mr./Ms._______________ has deposited Rs.________      dated __________as Registration fee for the two days national workshop on Bioanalytical techniques (25-26-2019).

Signature: ___________________

       (Convener Registration Committee)