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ARSSDC Registration Form
 
School / Team Name*
Name of Advisor / Teacher*
School/Team Address*
City*
State
Country*
Zip/Postal Code*
Email Address*
Day Phone (Country code / area code / phone no.)*
Evening Phone
Mobile Number
Fax No.
School/Team Website
 
 
Payment:  
Team Registration Rs.8,000
[Indian Teams pay by Demand Draft]
US$200
[International Teams pay by Credit Card]

If paying by Demand Draft (DD), please enter following details

 

DD No.


 

Name of Bank and City


 

DD Date
 
Please enter the security code*

View Terms and Conditions
Fields marked with * are mandatory

Important
Teams from Pakistan, please email us at rickeverest@gmail.com
for payment instructions.

If you have chosen the Demand Draft option for payment, please send the signed document
with Demand Draft drawn in favour of 'Atlantis Research' payable at New Delhi, India to the following address.

Abhishek Agarwal
C/O Atlantis Research
K4/5 Ground Floor, DLF City Phase II
Gurgaon 122002, India