SUSY17 (Mumbai)

Tata Institute of Fundamental Research

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Payment of Registration Fee and Optional Charges

(Credit/Debit Cards of Master/Maestro/Visa/RuPay)

Participant's first Name:
Last Name:
Registration fee:	INR 30000 (Regular participant, Late fee) INR 24000 (Student/PostDoc Late fee) Already paid
** Optional items:
Pre-Conference School (If you have not already paid)	Yes (INR 5500)	No
Airport pickup car (If you have not already paid)	Yes (INR 2000)	No
Number of accompanying person(s)	None One Two Three Four Five   (INR 4500 per person)