PRE-REGISTRATION FORM

1st International Conference

On

Mechanical Engineering & Renewable Energy (ICMERE-2011)

22- 24 December 2011, CUET, Chittagong-4349, Bangladesh
The duly filled form should be sent by mail, email or fax to the conference secretariat by
30th October, 2011

Name
(Prof/ Dr./ Mr./ Mrs/ Ms.) Last name

First Name

Affiliation

: .........

Address

: .........

Other name (if any)

............................................................
Tel: ..........

Fax: .......

Cell: .........

Email: ........

I plan to attend the Conference.

I intend to present a paper entitled (Paper ID:
):
..............
..............
I am a student, I intend to demonstrate my Paper/project/thesis work entitled:
I will pay the Registration fee in : cash/pay order/Draft (in favor of Seminar ME Department,
CUET, Sonali Bank, CUET Branch, Chittagong)
Amount: A) 250 USD
B) 150 USD
B) 3000 BDT
D) 1000 BDT

(Signature & Date)