1

TWO DAY NATIONAL SEMINAR

ON

Mission Kakatiya: A New Hope for Sustainable Rural Development in Telangana State

Organized by

Department of Social Work University Arts & Science College, (Autonomous)

Kakatiya University, Subedari, Warangal, T.S.

25th

– 26th

November, 2016

REGISTRATION FORM

Name: ________________________________________________

Designation: ________________________________________________

Affiliating Institution

and address: ________________________________________________

________________________________________________

________________________________________________

Title of the Paper: ________________________________________________

________________________________________________

________________________________________________

Contact Details: Mobile No. ________________________________________________

Email Id: ________________________________________________

Registration Fee Details: ________________________________________________

(Amount, DD No. and date

Name of the Bank and Branch) ______________________________________________

Require Accommodation 1) Yes 2) No

Accompanying person if any ________________________________________________

1) Twin Sharing Accommodation 2) Individual

Date of Arrival and Departure

(For Outstation Candidates) ___________________________________

Signature of the Delegate Send To:

Prof. T. Srinivas,

Seminar Director,

Department of Social Work,

University Arts & Science College,

Subedari, Hanamkonda, Warangal- 506001