PRE-CONFERENCE REGISTRATION FORM Two Day National Conference On “Every Child’s Right to Early Childhood Development: Evolving Inclusive Practices” November 23-24, 2018 at New Delhi Organised by CECED-AUD,DELHI, AECED and TISS Your First NameField is required!Field is required!ADDRESS OF ORGANISATIONField is required!Field is required!CityField is required!Field is required!StateField is required!Field is required!Your Last NameField is required!Field is required!NAME OF ORGANISATIONField is required!Field is required!PINField is required!Field is required!Your Full NameField is required!Field is required!CONTACT DETAILS OF SELF ADDRESSField is required!Field is required!EmailField is required!Field is required!AREA OF EXPERTISEField is required!Field is required!AMOUNTField is required!Field is required!Phone NumberField is required!Field is required!EDUCATIONAL QUALIFICATIONSField is required!Field is required!— Action Research Methodology Workshop —— Action Research Methodology Workshop —Visit Data and Evidence-Driven Practice WorkshopVisit to Early Care Settings— Action Research Methodology Workshop —Field is required!Field is required!- select a option -First choiceSecond choiceThird choice- select a option -Field is required!Field is required!Membership DetailsMembershipNATIONALMUMBAIField is required!Field is required!Membership Type INDIVIDUAL. ( personal) INDIVIDUAL. ( personal)INSTITUTIONAL NGO- select a option -Field is required!Field is required!No. of Years135Field is required!Field is required!Phone no.- AECED TISS: 022-25525342, 5349; Only What Sapp: Lovely Bhatia- 9082450510, Purnima Contractor – ONLY WHATS APP 9819269121. Email for all correspondence and submission of the abstracts: aecednationalnew@gmail.com, Website: www.mumbaiaeced.org Facebook: www.facebook.com/aecedmumbaiPhone no.- AECED TISS: 022-25525342, 5349; Only What Sapp: Lovely Bhatia- 9082450510, Purnima Contractor – ONLY WHATS APP 9819269121. Email for all correspondence and submission of the abstracts: aecednationalnew@gmail.com, Website: www.mumbaiaeced.org Facebook: www.facebook.com/aecedmumbaiField is required!Field is required!The charges include lunch, two teas/coffees, conference bag and kit material (on pen drive).Submit ADDRESS OF ORGANISATION CONTACT DETAILS OF SELF ADDRESS — Action Research Methodology Workshop —Visit Data and Evidence-Driven Practice WorkshopVisit to Early Care Settings — PRE CONFERENCE REGISTRATION —MembersNon-MembersNGO’sStudents –Payment By–DDNEFT/IMPSPay Online 1. Demand draft to be drawn in favour of “Association for early Childhood Education And Development, Conference 2018” Payable at Mumbai. Send by courier/hand delivery to: Honorary Secretary/Treasurer, Association for Early Childhood Education & Development, C/o School of Human Ecology, Tata Institute of Social Sciences, NAOROJI CAMPUS, PROF. M.S. GORE BLOCK, 5thFloor, Deonar Farm Road, Mumbai400088. 2. NEFT/IMPS to Bank Account: Account Number- 3705177524 IFSC Code- CBIN0281725 Branch- Central Bank Of India, Deonar, Mumbai. “If the payment is done through NEFT/IMPS, kindly send us the soft copy of the bank transaction clearly showing the member/participant’s name on our mail address.” Pay Now For all updates and queries, kindly contact us: Phone no.- AECED TISS: 022-25525342, 5349; Only What Sapp: Lovely Bhatia- 9082450510, Purnima Contractor – ONLY WHATS APP 9819269121. Email for all correspondence and submission of the abstracts: aecednationalnew@gmail.com, Website: www.mumbaiaeced.org Facebook: www.facebook.com/aecedmumbai The charges include lunch, two teas/coffees, conference bag and kit material (on pen drive).