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Imdc

The document is a registration form for the IAMDC - Nov' 2019 conference. It provides information on registration fees and deadlines, as well as instructions for payment. Registration includes conference materials and a proceedings CD. Student registrations must be signed by an institute head. The form collects contact and paper details. Payment must be made via bank transfer to the specified account without deductions.

Uploaded by

Sudhir Kumar
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67 views2 pages

Imdc

The document is a registration form for the IAMDC - Nov' 2019 conference. It provides information on registration fees and deadlines, as well as instructions for payment. Registration includes conference materials and a proceedings CD. Student registrations must be signed by an institute head. The form collects contact and paper details. Payment must be made via bank transfer to the specified account without deductions.

Uploaded by

Sudhir Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REGISTRATION FORM

Registration for IAMDC – Nov’ 2019 is now open. Fees are listed in the website under Registration page.
The conference fee includes all coffee breaks, lunch, and one copy of the IAMDC – Nov’ 2019 proceedings
CD and also published in the WJP journals.

NOTE: Student registration form should be forwarded and duly signed by the Head of the Institute with the
official seal. Part-time research scholars will not come under student category.

1. WAIRCO Membership No. (If any):

2. Date & Place:

3. Paper Id:

4. Paper Title:

5. Track: (Please tick any one only)

i) Electrical ii) Electronics iii) Production

iv) Mechanical v) Civil vi) Information Technology

vii) Mathematics / Statistics viii) Physics ix) Chemistry

x) Agricultural Science xi) Management xii) Education

xiii) Social Sciences

6. Round No.: (Please Tick the appropriate registration type)

i) Early bird ii) Regular iii) Late


7. Amount:

8. Amount Includes: (Tick appropriate numbers)

i) Registration fee (Speaker) ii) Registration fee (Co-Author)

iii) Registration fee (Attending) iv) Extra Paper Charge

v) Extra Charge for Journal CD vi) Extra Charge for Print Journal

9. Prefix: Dr. / Mr. / Mrs. / Ms.

10. Name:

11. Designation:

12. Affiliation / Company:

13. Telephone:

14. Fax:

15. E-mail:

The conference fee can be paid with bank transfer. No cheques are accepted. Please use the following
account details and make sure, the full amount is transferred and not reduced by bank handling charges:
Bank A/c No.: 917010023728781
Name: World Academic Industry Research Collaboration Organization
Bank Name: AXIS Bank, AVM Plaza, Upper Ground Floor, Air Bye pass Road,
Near Laxmipuram Circle, STV Nagar, Tirupati – 517 501, INDIA
IFSC Code: UTIB0002894
Swift Code: AXISINBBA17
MICR Code: 517211003

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