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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