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DELEGATE REGISTRATION FORM
Justice/Prof/Dr./Mr./Ms.: ..........Last Name:...............
Given Name: ................. Middle Name: .............
Whether Member of ICJ: Yes No Applied for
Designation: ........................................
Organization: ........................................
Mailing Address: ......................................
City: ...........Postal Code: ........... Country: .........
Tel (with Country Code + City Code + Number):
Office: ............Residence: ......... Mobile: ...........
Fax: .............. E-mail: ..........................
Nationality: ........ Date of joining profession/service: .........
Particulars of Membership of other Organizations (if any):
................................................
................................................
Passport No................... Date of Issue.............
Date of Expiry: ............... Place of Issuance: ...........
Arrival Details: Date ......... Time........ Flight No: .......
Name of Hotel: ............... Type of Room(s): ...........
Date of Departure: ......... Time of Departure: .........Hrs

DELEGATES FEE PAYMENT PARTICULARS:
Cheque/DD. No. ....... Dated ..........Amount ......
Bank .................Branch...............

DELEGATE REGISTRATION FEE:
                                                                          Non Members         Members
1. Corporate registration for 15 delegates               £6000                  £4500
2. Individual Corporate Lawyer/Officer                    £600                    £450
3. Advocates with more than 10 years' experience   £500                    £375
4. Advocates with less than 10 years' experience     £400                    £300
5. Judges                                                             £100                    £75
6. Academicians / Journalists                                 £350                   £265
7. Students                                                         £100                    £75

PAYMENT DETAILS:

The payment may kindly be remitted by Cheque/Bank Draft in favour of "Indian Council of Jurists" payable at London. To expedite the formalities kindly also send the application form along with facsimile copy of the Cheque/Bank Draft on e-mail: delegate.international.jurists@gmail.com. Please send the cheque/Bank Draft along with the Registration Form to the International Council of Jurists office: 6 Arlington Street, St James's, London, SW1A 1RE.
INCENTIVES FOR DELEGATE:

The Conference provides the member with an opportunity to interact with eminent Judges, Jurists and legal luminaries from various countries, to exchange information, to expand their professional network and to participate actively in conferences and seminars and an opportunity to advance their interests.


The Delegate while participating in the conference will be presented a Memento as a token of appreciation, having his name engraved thereon from the Chairman of the Working Session. The Delegate will also receive two photographs of participation in the conference on e-mail. Breakfast, Lunch, Dinner and Tea will also be served to the Delegates.
 
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