Registration Form for : Librarians Day - Cum Seminar at Shishuvan English Medium School, Matunga, Mumbai

 

Librarians Day - Cum Seminar at Shishuvan English Medium School, Matunga, Mumbai

Registration Form

Title :         Prof    5            Dr.    5          Mr.    5              Ms.    5

Name:___________________________________________________________________________

Qualification: ______________________________________________________________________

Organazation:_____________________________________________________________________

Proposes to participate as (tick mark) :                                                                                                                       Student   5  ; Parent   5  ; Teacher    5 ; Librarian 5 ; Others (specify) …………………………………5 ;

Address:___________________________________________________________________________

__________________________________________________________________________________

_______________________________________________________________Pin________________

E-Mail ID : _________________________________________________________________________

Phone (Office):__________________________________Mobile No:___________________________   

        

Signature:______________________________________Date:_______________________________

Please fill in the form and send scanned copy by  email:

_{Shishuvan English Medium School,}

_{426, Shraddhanand Road, King’s Circle, Matunga Central, Mumbai, Maharashtra 400019.                                                Shubadra Shenoy, Principal, Organizing  Director; Neha Chheda, Executive Director, Member – Organizing Committee, Jamila Merchant, Librarian (PR), Namrata Manglani, Rajashekhar Devarai, Chief Librarian, Organizing Secretary. Chieflibrarian.shishuvan@gmail.com ; namratamanglani@gmail.com ; shraddhaasstlibshishuvan@gmail.com ; zamilamerchant@yahoo.co.in ; Tel : 022-24044063/64}