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19 TH D. M. HARISH MEMORIAL GOVERNMENT LAW COLLEGE INTERNATIONAL MOOT COURT COMPETITION, 2018 REGISTRATION FORM Institution Details Name of College / University: ______________________________________________________________________ Address: ______________________________________________________________________________________________ _________________________________________________________________________________________________________ City: __________________________________________ State: _________________________________________________ Zip Code: ____________________________________ Country: ______________________________________________ Contact Information Name of College / University Contact Person: ____________________________________________________ Position: _____________________________________ Email address: ______________________________________ Telephone Number: ________________________________ Fax: ___________________________________________ Team Details Name of Speaker 1: __________________________________________________________________________________ Email Address: _____________________________________ Phone No: _____________________________________ Name of Speaker 2: __________________________________________________________________________________ Email Address: _____________________________________ Phone No: _____________________________________ Name of Researcher: ________________________________________________________________________________ Email Address: _____________________________________ Phone No: _____________________________________

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19THD.M.HARISHMEMORIALGOVERNMENTLAWCOLLEGEINTERNATIONALMOOTCOURTCOMPETITION,2018

REGISTRATIONFORM

InstitutionDetails

NameofCollege/University:______________________________________________________________________

Address:______________________________________________________________________________________________

_________________________________________________________________________________________________________

City:__________________________________________State:_________________________________________________

ZipCode:____________________________________Country:______________________________________________

ContactInformation

NameofCollege/UniversityContactPerson:____________________________________________________

Position:_____________________________________Emailaddress:______________________________________

TelephoneNumber:________________________________Fax:___________________________________________

TeamDetails

NameofSpeaker1:__________________________________________________________________________________

EmailAddress:_____________________________________PhoneNo:_____________________________________

NameofSpeaker2:__________________________________________________________________________________

EmailAddress:_____________________________________PhoneNo:_____________________________________

NameofResearcher:________________________________________________________________________________

EmailAddress:_____________________________________PhoneNo:_____________________________________

19THD.M.HARISHMEMORIALGOVERNMENTLAWCOLLEGEINTERNATIONALMOOTCOURTCOMPETITION,2018

TeamInformation

NumberofMembersintheteam:__________________________________________________________________

Pleaseindicatethenumberofteammembersforeach:

VegetarianMeals:______________________________NonVegetarianMeals:__________________________

TypeofCollege/University(Pleaseindicate)

IndianCollege/UniversityapplyingthroughtheMemorialRound:___________________________

IndianCollege/Universitythathasdirectlyqualified:_________________________________________

Non-IndianCollege/University:_________________________________________________________________

SignatureofFaculty-inCharge/HeadofInstitution:_____________________________________________

Name:_________________________________________________________________________________________________

Position:________________________________ContactDetails:__________________________________________

College/UniversitySeal:

TheRegistrationFormmustbesentto:

TheGeneralSecretaryMootCourtAssociationGovernmentLawCollege‘A’Road,ChurchgateMumbai–400020India

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