5th IndiaLICS Training Programme
on
Innovation Systems and Sustainable Development
September 14th – 19th 2018
APPLICATION FORM
[PLEASE USE CAPITAL LETTERS TO FILL THIS FORM]
NAME: ………………………………………………………………………….
GENDER: FEMALE/ MALE
CATEGORY: GEN/ OBC/ SC/ ST/ MINORITY/ PH …………………….……….…………
DESIGNATION: …………………………………………………………………………..………..
RESEARCH TOPIC: ……………………………………………………………………………..…
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AFFILIATION: …………………………………………………………………………………….…
REFERENCE: …………………………………………………………………………………….……
CORRESPONDENCE ADDRESS: ……………………………….………………………………
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E-MAIL: ………………………………………………………………………………….………………
MOBILE: ………………………………………………..…
DATE: …………………………… SIGNATURE
Checklist of documents for registration:
- Detailed CV
- Extended abstract/ synopsis (1000 words) of current research work
Please submit the duly filled application form along with above mentioned documents by email to lakhwindergill@pbi.ac.in (Coordinator – CDEIS) or pverma@thapar.edu (Coordinator – CSIS).
The last date of receiving application is 5th August 2018.
Organized by:
Centre for Sustainability Innovations & Strategy (CSIS),
LM Thapar School of Management,
Thapar Institute of Engineering & Technology,
SAS Nagar, Punjab.
Mobile: +91-9478374656
Centre for Development Economics & Innovation Studies (CDEIS),
Punjabi University, Patiala, Punjab.
Mobile: +91-9888755642