<form action="?pg=registration" method="post">
<font face='Arial' size="4px">Registration Form</font><br><br>
<p align='justify'>Delegates attending the Seminar will be able to complete the registration and submit it online to the Seminar Secretariat. A copy of the registration can be printed for their record. Seminar Secretariat will send an email confirming acceptance of the registration. This will be subject to deposit of the Demand Draft for <b>Rs. 400.00</b> [Rupees four hundred only] and <b>Rs. 200.00</b> [Rupees two hundred only] for students in favor of Indian Institute of Information Technology Allahabad payable at Allahabad<br> on registration at RGIIT.<br /></p><br>
	<p align=justify>Student delegates are required to submit a letter from the Institute/College on registration at RGIIT.</p><br>
<?php
//	include "mail2.php";
?>
     <table>
	<tr><td>Name:</td>
	    <td><input type="text" name="Name" size="50"></td>
	</tr>
	<!--<tr><td>Gender:</td>
	    <td><select name="gender">
 			<option value="Male">Male</option>
			<option value="Female">Female</option>
			</select></td>
	</tr><tr>
	</tr><tr><td>Category:</td>
	    <td><select name="category">
 			<option value="GEN">General</option>
			<option value="OBC">O B C</option>
			<option value="SC">S C</option>
			<option value="ST">S T</option>
			</select></td>
	</tr><tr><td>Background:</td>
	    <td><select name="background">
 			<option value="Urban">Urban</option>
			<option value="Rural">Rural</option>
			</select></td>
	</tr><tr>
	</tr> -->
	<tr>
	    <td>Designation:</td>
	    <td><input type="text" name="Designation" size="50"></td>
	</tr><tr>
	    <td>Organization:</td>
	    <td><input type="text" name="Organization" size="50"></td>
	</tr><tr>
	    <td>Address:</td>
	    <td><textarea name="Address" rows="4" cols="38"></textarea></td>
	</tr><tr>
	    <td>Phone:</td>
	    <td><input type="text" name="Phone" size="50"></td>
	</tr><tr>
	    <td>Email:</td>
	    <td><input type="text" name="Email" size="50"></td>
	</tr><tr>
	    <td><b>Presenting Paper </b></td>
	    <td><input type="checkbox" name="Paper" value="Y">Yes</td>
	</tr>
	</tr><tr>
	    <td></td>
	    <td><input type="submit" name='submit' value="SUBMIT">&nbsp;<input type="reset" value="RESET"></td>
	</tr>
     </table><br>
<a href='registrationform.pdf'><b>Download Registration Form (PDF Format)</b></a><br><br>
<input type='hidden' name='pg' value='<?php echo $pg ?>'>
</form>