geeta institute of law, panipat · 2019. 10. 22. · dean, geeta institute of law, karhans, g.t....
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JusticeDipakMisraNationalMootCourtCompetition1(10)of2020
GEETAINSTITUTEOFLAW,PANIPATJustice Dipak Misra National Moot Court Competition 1(10) of 2020
29th Feb. and 1st March 2020 (Saturday-Sunday)
REGISTRATIONFORM(To be �illed in block letters)
I.PARTICIPATINGUNIVERSITY/COLLEGEDETAILS
II.TEAMDETAILS
a)DetailsofSpeaker1
ContactPerson(Amemberoftheteamtowhomallcommunicationrelatedtothecompetitionshallbemade)
Name of University/College _______________________________________________________________________________________
Address:______________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Name of Dean/HOD_________________________________ Telephone No: _____________________________
EMAIL: _________________________________________________________ Website:____________________________________________
Name: _________________________________________________________ Phone_________________________________________
Email Address________________________________________________________________________________________________________
INSTRUCTIONS:All participating teams are requested to �ill in the details in capital letters and a scanned copy
of the �illed form should be mailed to [email protected] to expedite allotment of the team code. Please
read the Rules and Regulations of the competition before submitting this registration form.
Name: ___________________________________________________________________________________
Fathers's Name _________________________________________________________________________
Gender: _________________________________________________________________________________
Course: _________________________________Year/Semester:_______________________________
Mobile No:___________________Email:______________________________________________________ Sign___________________
PHOTO
Name: ___________________________________________________________________________________
Fathers's Name _________________________________________________________________________
Gender: _________________________________________________________________________________
Course: _________________________________Year/Semester:______________________________
Mobile No:___________________Email:______________________________________________________ Sign___________________
PHOTO
b)DetailsofSpeaker2
Name: ___________________________________________________________________________________
Fathers's Name _________________________________________________________________________
Gender: _________________________________________________________________________________
Course: _________________________________Year/Semester:_______________________________
Mobile No:___________________Email:______________________________________________________ Sign___________________
PHOTO
c)DetailsofResearcher
III.PAYMENTDETAILS/BANKTRANSFER:
Name of the Bank: ____________________________________________________________________________________________
Demand Draft No: _____________________________________________________________________________________________
Drawn On Bank: ______________________________________________________________________________________________
Favouring: _____________________________________________________________________________________________________
RTGS/NEFT Details (if applicable): _________________________________________________________________________
Amount: _______________________________________________________________________________________________________
Date: ___________________________________________________________________________________________________________
JusticeDipakMisraNationalMootCourtCompetition1(10)of2020
TRAVELPLAN
Name of the participating Institution: _____________________________________________________________________
DetailsofTeamMembers:
(a) Name: ____________________________________________________________ Contact No ______________________________
(b) Name: ___________________________________________________________ Contact No ________________________
(c) Name: ____________________________________________________________ Contact No _____________________________
ArrivalDetails:
Mode of Travel: Airways/Railways/Roadways: __________________________________________________________________
Train Name: _______________________________________________________________________________________________________
Flight Name: ________________________________________________________________________________________________________
Bus/Travels Name: ________________________________________________________________________________________________
Arrival Date: __________________________________________ Arrival Time: ______________________________________________
DepartureDetails:
Mode of Travel: Airways/Railways/Roadways :________________________________________________________________
Train Name: _______________________________________________________________________________________________________
Flight Name: ________________________________________________________________________________________________________
Bus/Travels Name: ________________________________________________________________________________________________
Arrival Date: __________________________________________ Arrival Time: ______________________________________________
Seal and Signature of Dean/HOD
GEETAINSTITUTEOFLAW,PANIPATJustice Dipak Misra National Moot Court Competition 1(10) of 2020
29th Feb. and 1st March 2020 (Saturday-Sunday)
JusticeDipakMisraNationalMootCourtCompetition1(10)of2020
Note:
a) The registration fee shall be Rs. 5000/-. The Participation Teams are required to submit registration
fee through a Demand Draft in favour of “GeetaInstituteofLaw” payable at Panipat or through
NEFT/ RTGS/IMPS.
b) Please mention the name, father’s name and the name of the institution on the reverse side of the
original demand draft.
c) The demand draft is to be send alongwith the registration form, to the following address:-
Dean, Geeta Institute of Law,
Karhans, G.T. Road, Samalkha,
Panipat-132101. Haryana
DECLARATIONBYTHETEAMMEMBERS
FOROFFICEUSEOFGEETAINSTITUTEOFLAWONLY
We hereby certify that the information given by us is true and complete in all material respect.
We also undertake to abide by the Rules and Regulations of the Moot Court competition.
---------------------------- --------------------------------- ----------------------------------
Signature of Speaker 1 Signature of Speaker 2 Signature of Researcher
Date: __________________________
Seal and Signature of Dean/HOD
DD. / RTGS / NEFT / IMPS with Number ___________________of Bank_____________________Dated____________
Received on:_________________________Team Code Assigned:_______________________________ ___________________
Deposited in Bank on____________________________________________________
Receiver Accountant
JusticeDipakMisraNationalMootCourtCompetition1(10)of2020