proforma

REGISTRATION FORM

Kerala History Congress (7^th, 8th & 9^th of November 2013)

Dept. of History Govt. Arts & Science College, Kozhikode

1.       Name of the Applicant                                                  :

(in capital letters)

2.       Designation with official address                               :

(for both faculty &research scholars)

3.       Academic Qualifications                                                :

               

4.       Title of Ph.D                                                                       :

             M.hil

       5.List of publications(for both teachers and scholars)                     :        

5.       Any other information which the applicant likes to furnish:

                                  Signature of the applicant:

The application should reach on or before 14^th October 2013.

 DD on Calicut  or At par cheque favouring Co-ordinator- Kerala History Congress

Account No.4316000100424852 Punjab National Bank,Meenchanda,Calicit

Contact

Dr.P.J.Vincnet, Co-ordinator of Kerala History Congress, Dept of History, Govt. arts & Science College, Kozhikode-18.

  

Email :keralahistorycongress@gmail.com   Mobile No.919961999622,918714817762