application form

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