Beruflich Dokumente
Kultur Dokumente
Your Institute/Organization/Address:
Correspondence Address:
Phone(1): Phone(2):
Email(1): Personal email:
Paper will be presented by:………………………………………………
Mode of payment NEFT/online/ DD Transaction ID/UTR=
(in case of online payment, in deposit form of text/detail column- registered delegate/author’s name should be written)
Amount: date of payment:
Deposited from which Bank Name:
Deposited from which branch name:
Who sent money: myself/ 3rd person. If 3rd person, his/her name?
If 3rd person has deposited, then have you received deposit slip/report ? Yes/No
Accommodation Required(for student)? Yes / No.
Date: Applicant’s Signature with date
N.B. (when money is deposited by online/NEFT, in place of writing message/text, you should write registering
author/delegate’s name, don’t write any other name who is going to bank to deposit or who is transferring money in
favour of delegate/author. If you make DD, that should be issued in favour of “Applied Computer Technology”,
payable in Kolkata.
N.B. this document is a property of Applied Computer Technology; any contents should not be changed
/altered/modified. Users are requested to put their information in proper field only.
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