NADA CENTRE FOR MUSIC THERAPY, INDIA

SIXTH WORLD MUSIC THERAPY CONFERENCE- 2014

CONFERENCE ROOM # 2, 2ND FLOOR

Y W C A O F D E L H I

ASHOKA ROAD, NEW DELHI- 110001

Full Name of the Delegate: Prof/Dr/Mr/Ms ............
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Institution ....................................

Complete Mailing Address ...............................
......................................................

Email Address ...............................

Mobile Phone Number ...............................

Age ...............................

Nationalty ...............................

Whether you would like to present a paper? Yes / No.
If yes, please indicate the topic of presentation
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I,……………………………………………,
hereby attach a Crossed Cheque / A Dictionary of
Music & Music Therapy Demand Draft No …
…………………………… dt ……………………………
for Rs. 4,000 / 4,500 / 5,000 (Please tick
whichever is applicable) favouring NADA CENTRE
FOR MUSIC THERAPY, payable at Chennai,towards
Participation Fee / Donation to the Sixth World
Neutral Music Therapy Conference - 2014.


Signature
Dated
(Please mail this downloaded Registration Form duly
filled to Ms. Jayasree Raja, F/63-B, Hari Nagar,
New Delhi - 110064 alongwith the crossed Cheque /
Demand Draft, favouring NADA CENTRE FOR
MUSIC THERAPY, payable at Chennai.
(If you opt for paper presentation, please send
the abstract before November 30, 2013).

(If you opt for song presentation, please
indicate the details of song / instrument
played in brief here).