Event Registration Form

1st EURO-PAK INTERNATIONAL CONFERENCE ON SPORTS SCIENCES & PHYSICAL EDUCATION (EPICSSPE 2017) "Sports and Sports Sciences; Reshaping Life" October 06-08, 2017 (Islamabad, Pakistan)

Workshop Registration Form (4th & 5th October 2017) Please complete the information below and note that the name and title you give here will be printed on your badge, certificates and the participants’ list

VENUE: ISLAMABAD-PAKISTAN

A. Training Workshop for Special Persons,

By Prof. Dr. Joel Gaillard, (Ph.D) University of Lorraine, Nancy, France (For Physical Educationists, Doctors, Physiotherapists, Teachers and Coaches of Special Education). B. Role of Educational Institutions in Promoting Sports and Physical Activities, By Prof. Dr. Abdul Waheed Mughal, Dean Faculty of Arts, Social Sciences and Education (SUIT) with Reps of POA, PSB, HEC and Universities (for Physical Educationists, Coaches & Heads of Local Educational Institutions) C. Training Workshop on Breast Cancer in Women, its effects and rehabilitation, By Prof. Dr. Fernandez Ortega Jairo Alejandro, (Ph.D) Bogota- Colombia (For Doctors, Physical Educationists, Nurses, Physiotherapists).

1. Participants information

NAME:  Prof.  Dr.  Mr.  Ms.: ______

NIC# ______

Workshop/s selected for Registration: A  B  C  Status:  Student  Teacher

Name of Institution: ______

Address: ______

Cell: ______E-mail: ______

2. Registration Fee

One person for One Workshop with certificate only PKR 1000 Per person for One Workshop with accommodation and all souvenirs PKR 3000 Per person for Two Workshops with accommodation and all souvenirs PKR 4000 Per person for Three Workshops with accommodation and all souvenirs PKR 5000

3. Mode of Payment

Registration fee can be deposited online through Account NO. PK93JSBL9541000000660620 JS Bank University Road Branch, Peshawar, or through a demand draft drawn on any bank in the name of International Conference 2017, Sarhad University.

Date:____/_____/____ Signature: ______IMPORTANT NOTE: Please send the soft & hard copy of this filled Registration Form along with the copy of your NIC and receipt of fee in original to the Conference Secretariat at the following address:

Prof. Dr. Abdul Waheed Mughal (Conference Secretary), Sarhad University Liaison Office, House No. 289-B, Street No.1, National Police Foundation (NPF), E-11/4, Islamabad, Pakistan, 1st EURO-PAK INTERNATIONAL CONFERENCE ON SPORTS SCIENCES & PHYSICAL EDUCATION (EPICSSPE 2017) "Sports and Sports Sciences; Reshaping Life" October 06-08, 2017 (Islamabad, Pakistan) Ph: 051-2318166-68 Cell # 03215169160 & 03335100992 Email: [email protected]