Registration Form

International Conference
On
Architecture, Civil and Environmental Engineering
(ACEE- 2017)
Organized by
Krishi Sanskriti Publications
on
th
11 June, 2017
Venue:
Jawaharlal Nehru University,
New Delhi

Name: Dr/ Mr / Mrs / Ms________________________________________________________________

Title of the Research Paper:_____________________________________________________________
___________________________________________________________________________________
Sex: (Male/Female)___________________________________________________________________
Category :( Faculty/ Research Scholars / Students / NGO /Industry/Participant)___________________
Organization: ________________________________________________________________________
Department: _________________________________________________________________________
Designation: _____________________________________________________________________
Correspondence Address: ______________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Pin:_____________________________________ Phone No.:_______________________________
E-mail: ______________________________________________________________________________
Accommodation Required (Yes/ No):______________________________________________________
Duration from ________________________________________________________________________
Date and time of arrival_________________________________________________________________
Date and time of departure______________________________________________________________
If you are unable to attend the conference (Kindly mention here absentia) _________________________

Registration Fee: (Please tick)

Registration Charges:
SAARC/ African
Categories Indian Delegates Country Delegates Rest of the countries
Academic faculty/Industrial Delegates 4000 INR 125 USD 250 USD
Research Scholars(Ph.D) / NGO Representative 3500 INR 100 USD 200 USD
Students(B. Arch./B.Tech/ M. Arch./M.Tech /M.Sc
etc) 2500 INR 75 USD 150 USD
Printing of Additional Page in Books /Journals 300 INR 15 USD 20 USD
Listener / Accompanying Member(only Indian
Delegates) 1500 INR ** **
Book/Journal & Certificate (additional copy) for Co-
Authors in absentia (if required) 700 INR 20 USD 30 USD
Only Books/Journal (additional copy) for
Co-Authors in absentia (if required) 500 INR 15 USD 25 USD
Only Certificates (Co-Authors in absentia) 300 INR 10 USD 20 USD
Additional Research paper for same authors 1500 INR 25 USD 35 USD

**Foreign Participants as listener are not allowed, only authors from foreign country/countries will be
allowed in this conference.
 Registration Form

Payment Method: (Cash Deposit / NEFT/Wire Transfer)______________________________________

Payment Details:
Issuing Bank: ___________________________________________________________________
Amount & Date:__________________________________________________________________
NEFT/RTGS/ Wire Transfer No.:________________________________________________________
Scanned copy of Cash Deposit receipt attached (Yes/ No)____________________________________

Name of Authors/Co-authors for whom certificates is required (if paid extra for additional certificates):

1) ________________________________

2) ________________________________

3) ________________________________

4) ________________________________

5) ________________________________

6) _________________________________

Bank Details for NEFT/ Wire Transfer:

Beneficiary Name : Krishi Sanskriti Publications
Bank Name : Canara Bank
Bank Address : Jit Singh Marg, New Delhi
Account No. : 1484201003088
Account Type : Current
IFSC Code : CNRB0001484
Swift Code- : CNRBINBBBID

Name:
Place:

Dated: Signature:

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