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Registrationform

The document is a registration form for a conference. It requests information such as paper title, author details, academic background, payment details, and a declaration agreeing to the conference rules. Submitting this completed form registers the author for the conference.

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N Madhu
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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16 views

Registrationform

The document is a registration form for a conference. It requests information such as paper title, author details, academic background, payment details, and a declaration agreeing to the conference rules. Submitting this completed form registers the author for the conference.

Uploaded by

N Madhu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Conf.

/Event Name:

Conf. /Event Venue: Conf./Event Date:

(DD/MM/YY)

Paper ID/ Reg. No.

Paper Title:

Author’s Name

Gender: Mal Female

e
ADDRESS FOR CORRESPONDENCE(*): Note: It is mandatory to fill (*) Marked Information below

Pin

Mobile(With Country Code)

Email ID

Date of Birth: 4. Nationality

DD MM YEAR

College/University/Company
AFFILATION

ACADEMIC INFORMATION (*)


Graduation Post Graduation PhD. /Post Doc
No of Conference/Events Attended________________________________________No of paper published____________________________________
Books / Chapters published & E-learning materials Developed____________________________Patents__________________________________
Sponsored Projects (Number & Amount)_______________________________________________________________________________________________
Awards and Recognition__________________________________________________________________________________________________________________

EXPERIENCE(*) (IN YEARS)


Teaching experience UG : PG :

Research experience (Post-Ph.D.)

Industrial experience

Guided by (*)
Name________________________________________Affiliation____________________________________________________________________________________
Designation_________________________________Email ID____________________________________Contact No.____________________________________

This form is a property of ISETE & PET and can’t be reproduced by means at anywhere without prior written permission. ©ISETE
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CO AUTHOR’S DETAILS (*)

Co-author-1
Name________________________________________Affiliation____________________________________________________________________________________
Designation_________________________________Email ID____________________________________Contact No.____________________________________
Co-author-2
Name________________________________________Affiliation____________________________________________________________________________________
Designation_________________________________Email ID____________________________________Contact No.____________________________________
Co-author-3
Name________________________________________Affiliation_________________________________________________________________________________
Designation_________________________________Email ID____________________________________Contact No.____________________________________
PAYMENT DEATAILS (*)

Amount Paid________________________(USD/INR)Mode of transfer____________________________________ (Online Transfer/Cash deposit at Bank/NEFT)


Bank Details_______________________________________________________________________________________________________________________________
Transactions ID________________________________________ Date of Transfer (DD/MM/YY)___________________________________________________
Note:(Mode of transfer: Online Banking/Cash deposit at bank /NEFT ) only
ADDITIONAL INFORMATION (*)

 Are you personally attending the Event____________________________(Y/N).

 No. of Persons attending the event with you?(Including your Co-authors)__________________________ .

 Will your Guide/HOD/Principal attending will attend the Event?______(Y/N)

 Have you attended any conference organized by ISETE or its allied group before?

⊡Yes (Paper ID______________________________________) ⊡No

DECLARATION/UNDERTAKING (*) (Read Carefully before Sign)


1. I have not published this paper anywhere before.
2. I will not cause or involve in any sort of violence or disturbance within and Outside of the Conference Venue.
3. I am transferring the Copyright of my paper to ISETE to publish in the conference and Journal decided by the management of ISETE.
4. I and all my co-authors have provided the Original identity inside the paper.
5. I have read all the information carefully provided in the Conference website for attending and publishing in the ISETE Conferences.
http://www.isete.org/rules.php
6. I do here by declare that all the information given by me is true and if at any moment it is found to be wrong my registration for event will be cancelled by
ISETE Management and can take necessary action against me.
7. ISETE has all rights reserved to reschedule and cancel any event at any time.
8. I will use www.isete.org as the official website for ISETE for any information.

SIGNATURE Date:___________________________

Author Co-author-1 Co-author-2 Co-author-3 Co-author-4

NOTE: Kindly send a scan copy of this form with the payment details to the Conference email id Only for registration Confirmation

Take the original hard copy for this form to the Event/Conference with a valid Identity card.

* Condition Applied This form is a property of ISETE & PET and can’t be reproduced by means at anywhere without prior written permission. ©ISETE

This Registration form is for one paper only.

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