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Application Form

For The 3rd International Undergraduate Conference on Policing

Team Name Cyber El Drago

Paper Topic Automotive Cyber Security

Reason for
Selection of
this Topic

Name Aman Singh Date of Birth July 13 1999

Mobile Telephone
8130875499 -
Team Number Number
member 1 E-mail
Nationality Indian amanamals@gmail.com
address
Photo Indian Institute of
Technology-Delhi /
Account
School/Major Electrical
Engineering Power Number
& Automation
Gender
Quarter No. D-2, Indian Oil Corporation B.K. Pipeline Colony,
Male / Address Subedarganj, Allahabad, Uttar Pradesh, India
Female Pin Code- 211012

Name Date of Birth


Mobile Telephone
Team Number Number
member 2 E-mail
Nationality
address
Photo
Account
School/Major
Number
Gender
Male / Address
Female

Our team hereby applies for The 3rd International Undergraduate Conference on
Policing hosted by Korean National Police University.
2017. . .

Dear President of Korean National Police University


Cover Letter

Introduction of
Less than 200 words
Team Members

Reason for
Less than 150 words
Application

Please scan your Certification of Enrollment and attach it as a PDF file.


Photos should have been taken within a year.
Please attach Consent Form for Collection and Use of Personal Information.
Please attach Copyright Transfer Agreement.
< Consent Form for Collection and Use of Personal Information >

The Collection and Use of Personal Information

Purpose of collection and use:


The 3rd international undergraduate conference on policing
Items of personal information to be collected:
-Required items
: Name, Date of birth, Mobile number, Telephone number, Nationality, E-mail address,
School/Major, Gender, Address, account number
Period of Use: One year from _________, 2017
The right to refuse consent:
You have the right to refuse your consent to the collection and/or use of your personal
information.
However, in the event that you refuse your consent, you will not be able to participate in the
conference.

I hereby acknowledge that I have read the foregoing in its entirety and consent to collection
and/or use of my personal information.
applicant: (signature)

Provision of Personal Information

Recipient: International Cooperation Section of Korean National Police University


Purpose of collection and use:
The 3rd international undergraduate conference on policing
Items of personal information to be collected:
-Required items
: Name, Date of birth, Mobile number, Telephone Number, Nationality, E-mail address,
School/Major, Gender, Address, account number
Period of Use: One year from _________, 2017
The right to refuse agreement:
You have the right to refuse your consent to the collection and/or use of your personal
information.
However, in the event that you refuse your consent, you will not be able to participate in the
conference.

I hereby acknowledge that I have read the foregoing in its entirety and consent to collection
and/or use of my personal information.
applicant: (signature)

The 3rd International Undergraduate Conference on Policing


Copyright Transfer Agreement
Title of the paper:

I, _________________(applicant) hereby signing this agreement, consent to comply


with the following terms and conditions:
1. Articles published in or under consideration for any journal should not be submitted.
2. The paper does not infringe on any copyright, privacy or other rights in any other
work or of any third party.
3. Papers must be in the accepted conference style and format.
4. Copyright of the paper belongs to the author. However, the applicant shall give
permission to Korean National Police University in disclosing papers to the public
through published works made by Korean National Police University or on the World
Wide Web.
5. Korean National Police University retains comprehensive rights to make an objection
and accusation against copyright infringement or take other measures to protect
copyright.

Date ________________

Signature of applicant ________________

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