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ICIIP-2011 Registration Form

This document is a registration form for the ICIIP-2011 conference. It outlines the registration policy which requires at least one author per accepted paper to register. The registered author must then present the paper at the conference in order for it to be published in IEEE Xplore. The form collects information for registration such as name, address, email, paper details, currency, registration fees, payment details, and signature. Registration fees vary based on author type and member status.

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Krishna Anumalasetty
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73 views2 pages

ICIIP-2011 Registration Form

This document is a registration form for the ICIIP-2011 conference. It outlines the registration policy which requires at least one author per accepted paper to register. The registered author must then present the paper at the conference in order for it to be published in IEEE Xplore. The form collects information for registration such as name, address, email, paper details, currency, registration fees, payment details, and signature. Registration fees vary based on author type and member status.

Uploaded by

Krishna Anumalasetty
Copyright
© Attribution Non-Commercial (BY-NC)
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

Registration Form - ICIIP-2011

Registration Policy for all Accepted Papers


1. Atleast one author per paper has to register for the Conference which includes accommodation 2. The registered author must present the paper in the conference for getting the paper to be published in IEEE Xplore. Otherwise your paper will be removed from the conference proceedings 1. Name: Designation:

2.Address: ______________________________________________________________________________________ 3. Email: 4. Paper(s) which you want to register


1. Paper ID 2. Paper ID Title Title

Phone:

Mobile:

5. Check Your Currency:

] USD (US Dollar)

] INR (Indian Rupees)

6. Check your Registration Fee (Put a Tick below )


Indian Author Non-IEEE Member Author IEEE Member [ [ [ [ [ [ [ [ [ ] 3500 INR ] 3000 INR ] 2500 INR ] 1000 INR ] 300 USD ] 250 USD ] 200 USD ] 150 USD ] 1000 INR

Indian

Indian Student Author Non-IEEE Student Member Indian Student Author IEEE Student Member Paper Registration fee Foreign Author- Non-IEEE Member Foreign Author- IEEE Member Foreign Student Author Non-IEEE Foreign Student Author IEEE Student Member
Listener: Non-Author/ Co-Author/ Simple Participants (no paper)

Total Amount

[ ] USD
(Foreign Author)

_____________________
(Indian Author)

[ ] INR

Wire Transfer / Remitters name: Demand Draft / (Senders name) Details

Payment Date: DD No. / Transaction id:

Bank Details:

Note: 1. In case of Bank Transfer / Demand Draft : Also prepare your scanned bank Document (Receipt) / scanned Demand Draft and send it by email to iciipregister@gmail.com 2. The bank transfer payment requires about 5 -10 days to be booked on the conference account. When author pay the registration fee by the bank wire transfer, please send the scanned bank receipt to confirm your registration fees payment. 3. Additional Details required ONLY by Foreign Participants / Delegates :

Fathers Name Date of Birth Place of Birth

Nationality Passport No. Date of Issue Place of Issue Date of Expiry

Address

7. Name:

Signature:

Date(mm/dd/yy):

For details regarding payment and Bank wire Transfer , please visit: http://www.juit.ac.in/iciip/reg.php For any queries related to payment, please email to iciipregister@gmail.com

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