International Workshop on IT-Enabled Manufacturing, Logistics, and Supply Chain Management
The Taj West End, Bangalore 
December 15-16, 2003	

WORKSHOP REGISTRATION FORM
(visit http://lcm.csa.iisc.ernet.in/workshop/)	

*Method of Payment - Cheque or Demand Draft only (No Cash/ Credit Card):
(Please make Cheque or Demand Draft in favour of MLS Workshop payable at Bangalore)

1.	 Name (Last, First, Middle):

2.	Name on Badge:

3.	Affiliation:

4.	Address:

5.	City, State, Country:

6.	Phone:

7.	Fax:

8.	E-mail:

9.	Please circle appropriate category fees

Indian Delegates	Foreign Delegates	
Industry 
Professionals	Academic/University
Professionals	       Students#		
Rs. 5000	Rs. 1500	Rs. 500	USD 200 	

10.	 TOTAL AMOUNT:  ____________________ 

11.	 Bank Name: _______________________ Cheque/ Draft No. __________________

Signature __________________________

Completed registration form, along with the cheque or draft, to be superscribed in the cover as “Registration for MLS Workshop”, should be sent, no later than November 15, 2003, to   

Dinesh Garg,
Department of Computer Science and Automation,
Indian Institute of Science, Bangalore 560 012
INDIA

Tel. No. +91-80-2932368 Ext. 111/238
Fax. No. +91-80-3602911
Email: dgarg(at)csa.iisc.ernet.in
 
# Students must attach a bona fide certificate from the supervisor/head of the department.

PS: Limited accommodations at IISc and travel funds are available for academics and students. Mail to Kamesh (kameshn(at)csa.iisc.ernet.in) for further details.