REGISTRATION FORM

NAME

: __________________________________________________________________

DESIGNATION

: __________________________________________________________________

DEGREE / DEPARTMENT

: __________________________________________________________________

ORGANIZATION/INSTIUTION

: __________________________________________________________________

TITLE OF THE PAPER

: __________________________________________________________________
__________________________________________________________________

CO AUTHORS

: __________________________________________________________________

ACCOMMODATION

: __________________________________________________________________

GENDER

: __________________________________________________________________

BANK TRANSACTION DETAILS :

__________________________________________________________________

AMOUNT (IN WORDS)

: __________________________________________________________________

DD NO

: __________________________________________________________________

BRANCH

: __________________________________________________________________

ADDRESS FOR

CORRESPONDENCE

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

PHONE NUMBER

: __________________________________________________________________

E MAIL

: __________________________________________________________________

Terms and Conditions

Each Submission should be regarded as an undertaking that, if the paper is accepted, at
least one of the authors must attend the conference to present the work.
The Registration fee should reach the conference desk before the due date.
Papers received after the due date will not be published in the Proceedings.
Accommodation will be provided to the Participant(s) only if needed, however charges
apply.
Separate registration is must in case of certificate requirement for co-authors
Place:
Date:
Signature
Note: The Registration form may be photocopied for additional requirement