EUROPEAN ASSOCIATION - University College London



EUROPEAN ASSOCIATION OF

SOUTH ASIAN ARCHAEOLOGISTS

REGISTRATION FORM

Please return to: Dr. Robert Harding, Institute of Archaeology, 31-34 Gordon Square, London, WC1H 0PY, United Kingdom

Title (Mr/Mrs/Ms/Dr/Prof)……………

Name…………………………………………………………….…

Address………………………………………………….…………………

………………………………………………………………….………….

City………………………………………Zip/Postcode………………......

Country…………………………………………………..

Telephone………………………………………………..

Fax……………………………………………………….

Email…………………………………………………….

I enclose my registration fee. I am paying the

Full Rate (£95.00/EUR 148)

Student Rate (£50.00/EUR 74)

Cheques in pounds or euros should be made out to the Indian Art Circle. Those who wish to transfer/wire the money should provide written confirmation of the transaction:

Bank: HSBC 1 Woburn Place, Russell Square, London WC1H 0LQ

Sort code: 40-06-07

Account number: 01247476

IBAN: GB13MIDL40060701247476

BIC: MIDLGB2142E

Account name: Indian Art Circle

Signed

Emergency Contact Details

Name of Delegate……………………………………………….…………

Person to Contact in Case of Emergency………………….………………

……………………………………………

Emergency Address………………………………………………….……

………………………………………………………………….………….

……………………………………………………………………………..

City………………………………………Zip/Postcode………………......

Country…………………………………………………..

Telephone………………………………………………..

Email…………………………………………………….

Important Medical Information (optional only)

Passport No:………………………………

Visa No:…………………………………...

Delegates are advised to submit photocopies of passport and visa pages with this form as a precaution against loss or theft.

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