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2 Seats Booking Course Fee: Fees paid on or before 30 th June,2018* Individual: Rs.19, (Rs. Nineteen thousands only) Group (not less than 3 individuals): Rs.17, per individual (Rs. Seventeen thousands only) Group (not less than 5 individuals): Rs.16, per individual (Rs. Sixteen thousands only) *** Please add 18% GST to the amount. Fees paid after 30 th June, 2018 Individual: Rs. 25, ( Rs. Twenty-five thousands only) Group (not less than 3 individuals: Rs.23, per individual ( Rs. Twenty three thousands only) Group (not less than 5 individuals: Rs.21, per individual ( Rs. Twenty one thousands only) *** Please add 18% GST to the amount. The course is non-residential in nature. Guest house booking will be done by IIT, Kharagpur only on request. Failure to book any suitable accommodation at the last stages can not be purported to be the failure of the organizers. To avoid disappointment, please book early. Please note nominations would be considered as confirmed participation and would remain chargeable to the extent of a regular candidate as above, even if the candidate or his/her replacement fails to turn up. IIT, Kharagpur will not be in position to negotiate on the above. How to Register Make a Demand Draft (DD) in favour of Dean, CE, IIT Kharagpur payable at Kharagpur. Send filled up Participation form and the Demand Draft (by)to : Dr. Jayanta Bhattacharya Department of Mining Engineering Indian Institute of Technology Kharagpur Kharagpur , West Bengal. To confirm participation please send the scanned copy of the Demand Draft To jayantab@mining.iitkgp.ernet.in, rnsamant99@gmail.com Follow us on: Linkedin: JB Professional Courses Twitter: JB Professional Courses Facebook: Industrial Courses IIT Kgp

3 The three (3) day Short Term Course On Land Acquisition and Environmental Clearance of Projects (Course Code: LAECP 2018) Registration Form 1. Name : 2. Designation : 3. Organization : 4. Sex(Male/Female): 5. Highest Academic Qualification: 6. Experience Years(s) Month(s) 7. Address for communication 8. Mobile: 9. Fax: Bank Draft Details Amount Draft No: Drawn on Date: Place: Signature of Participant Signature of the Sponsoring Signature The applicant is a permanent faculty/employee of our organization. He/she is recommended for the Course and will be released upon selection. The short term course organized by Dept. of Mining Engineering, IIT Kharagpur.

4 Accommodation: Shared accommodation in guest houses in the campus may be arranged. Accommodation Details

5 Payment Mode All the payments have to be made in bank draft in favour of CEP-STC, IIT, Kharagpur, payable at Syndicate Bank, IIT, Campus, Kharagpur. Electronic Transfer Details Bank Detail and Electronics Transfer: Authority holding the Account Name of the Account as appearing in the Bank Account : Dean, CE, IIT Kharagpur : CEP-STC Bank Account No. & Savings) : Banks Name Branch Name Address of the Bank : Syndicate Bank : SRIC, IIT Kharagpur : SRIC, IIT Kharagpur, Dist: Paschim Medinipur State: West Bengal,Pin MICR Code of the bank : IFSC Code (Indian Financial System code for RTGS) PAN No Nature of the Bank Contact GSTIN : SYNB : AAAJ10323G :Non-SBI Bank : Dean, CE, IIT, Kharagpur , deance@hijli.iitkgp.ernet.in :19AAJI0323G1ZM Dr.Jayanta Bhattacharya Department of Mining Engineering Indian Institute of Technology Kharagpur Kharagpur , West Bengal For any queries please send to: jayntab@mining.iitkgp.ernet.in, rnsamanta99@gmail.com, Phone: , Fax: / / Mobile :

6 How to reach Campus at IIT Kharagpur Situated about 120 km west of Kolkata, Kharagpur can be reached in about 2 hours by train from the Howrah railway station of Kolkata or 3 hours by car from Kolkata Airport. Kharagpur is also connected by direct train services to most major cities of the country. The Institute is about 10 minutes drive (5 km) from the Kharagpur railway station. Private taxi, auto rickshaw or cycle rickshaw can be hired to reach the Institute.

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