Registration Form

REGISTRATION FORM
First National Conference on Neuroscience Research in Bangladesh Organized by Neuroscience Research Center of Dhaka University (NRCDU)
Date: April 15, 2017
Name: Prof./Dr./Prof. Dr./ Mr………………………………………………… Institution: ……………………………………………………………………………… Address: …………………………………………………………………………………… Country: …………………………….., , Telephone/Mobile: …………………… Fax: …………………………………… Email: ………………………………….. Please tick (√ ) appropriate box I will attend the Conference, I will submit an oral presentation
Registration Fee Tk. 500/ only

The registration fees will entitle a participant to receive the Abstracts and Other Conference Materials, and entry to all Scientific Sessions; it will also include morning tea and lunch.
_______________________________________________________________________
(Title of the Oral Presentation)

Signature
Date
(The photo copy of this Form will be accepted)
Please Send Your Abstracts, Registration Forms and Information to:
Professor Dr. Md. Khalilur Rahman Member-Secretary Or Professor Dr. Md. Zakir Hossain Hawlader Organizing Secretary First National Conference on Neuroscience Research of Bangladesh Neuroscience Research Center of Dhaka University (NRCDU) Department of Biochemistry and Molecular Biology Dhaka university, Dhaka-1000, Bangladesh.