| To pay the registration fee through credit card, the participant must authorize CITI TRAVELS, the official travel agent of CODEC-06 to charge their credit cards (Visa/Master credit card) .
Indian participants Foreign participants
Authorization for use of Credit Card :
I, (Name of Cardholder), hereby authorize CITI TRAVELS (located at 167P Rashbehari Avenue, Jashoda Bhawan No. 2, Kolkata 700019, India) to charge my Visa/Master credit card No. ....................., Exp. date ..............for the amount of Rs................. (Rupees [in words]..................) towards the registration fee for the conference CODEC-06.
Signature of Cardholder :
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Authorization for use of Credit Card :
I, (Name of Cardholder), hereby authorize CITI TRAVELS (located at 167P Rashbehari Avenue, Jashoda Bhawan No. 2, Kolkata 700019, India) to charge my Visa/Master credit card No. ....................., Exp. date ...............for the amount of Rs.................(Rupees[ in words].....................) equivalent to USD...........towards the registration fee for the conference CODEC-06. ( Use Conversion rate : 1 USD=Rs.47.00, valid for the month of September, 2006)
Signature of Cardholder : |
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| Designed by Dr. B Bandyopadhyay | ||||||