REGISTRATION FORM

       
*

   
   
   
Title of Paper:    
Abstract Code:    
       
Personal Details      
* Nationality  

* Email address:

       Complete email ID i.e. yourname@gmail.com

* Title:

 

 

* First name:

       Maximum 20 characters

*Last name:

   

* Gender:

  male    female  

* Designation:

   

* Name of Organization:

   
Contact Details      
* Region:    
* Country:    
* State:    
* City:    

* Address:

 

 

Pin/Zip Code:    
* Phone No.:    
Mobile No.:    
Educational Information :      
* Field of Research         Natural Sciences/Technology/Social Sciences/Other

* Institution:

 

* How did you get to know ICER-18:

 

Payment Details      

 
 

* Photograph Upload:

 

   File size should be less than 100kb

* Signature Upload:      File size should be less than 100kb

* Date :

 

* Amount (INR/$/€ ) :

 

INR €     

* Banker's Name:

 

* Cheque/DD/EMT details  

 

I intend to attend the congress and present a paper.
I intend to attend the congress but will not present paper.

Accommodation Details:      

 

Wish to get accommodation at campus hostel
I want accommodation at private hotel
I will make my own arrangements

I agree to the terms and conditions of conference organizers and abide by information and instructions given in this behalf failing which my registration may be cancelled.

Security Question :

 

2 + 7 =