Jadavpur University ImpDates

One of the authors must register in the conference. If more than one paper of the same author has been accepted then all papers must be separately registered.


AIMoC REGISTRATION FORM

Personal Details

Salutation
Participant Name (in Capital Letters)
Paper’s Name (In case of author)
Nationality
Country of Residence
Designation
Department
Name of the Institution/ Organization
E-Mail
Note:

Delegates permanently residing (working) in India can only make payment in Indian Rupees. All other delegates (including Indians currently residing or working in other countries) should make payment in USD.

Registration Details

Participant category
Nationality
IEEE Membership Yes No
Currency Paid INR USD
Amount
Total amount enclosed
Mode of payment
Enclose a copy of wire receipt or bank draft (Size:20kb)
Contact Phone Number
Fax (Optional)
Mobile phone number (Optional)
Emergency contact number (someone other than you)
Emergency E-mail (someone other than you)
Food allergies or restrictions (if any)

Accommodations Required (Some limited accommodations will be arranged on payment basis during the conference days.
We will intimate the charges and other details if you say “Yes”. )
             Yes No

Upload photo of the candidate(Size:30kb) Signature of the candidate(Size:20kb)