ICETEST-2015

International Conference on Emerging Trends in Engineering, Science and Technology

REGISTRATION FORM

NOTES:

To avoid delays in registration, please read the entire form carefully. You may submit your completed Registration Form and the Scanned Payment Receipt of the applicable registration fee tobefore November 5th, 2015. Please submit one form for each participant. Also, kindly upload this form as supplementary material to the conference management system while uploading camera ready paper.

INSTRUCTIONS REGARDING PAYMENT:

Bank service charges should be paid by the participant

While making online transfer, mention your paper id in remarks

While NEFT, mention your name and paper id in the NEFT Form

While making Bank counter payment, Ask the teller to enter your name and paper id in the remark column of the banks software. That will help us to track your payment.

Registration can only be secured and confirmed when payment has been received.

Personal Details
*Prefix : (Dr./Mr./Mrs./Prof. etc.) / *Gender Male □ Female □
*First Name : / *Last Name :
*Affiliation(Organization or University):
*Mailing Address:
*City: / State/Province :
*Country: / Pin/Zip :
*Mobile No. / *Email Id :
Paper Details
*Track : / *Paper ID :
*Paper Title:
*Paper Author(s) :
*Will you attend the Conference in Person: Yes/No
*Name of Participant Author:
Special dietary: Vegetarian □ Non-vegetarian □
Payment Details
*Payment Mode : Online □/ NEFT □/ DD □/ Bank Counter Payment □
*Payment Reference Number /DD Number :
*Amount Paid :
Signature of the Participant with date :

REGISTRATION FEES

Registration fees ‘For TRACKS which publish paper in ELSEVIER PROCEDIA TECHNOLOGY’
Author Category / Stream / Revised Registration Fees / Publisher*
International authors from Academic/R & D Organisations / All streams except PICC - 2015 / USD 250/- / ELSEVIER
PROCEDIA TECHNOLOGY
For all tracks except PICC
International Authors
(Students/Research Scholars) / USD 200/-
National Authors from Industry / INR 8,000/-
National Authors from Academic Institutions / INR 8,000/-
National Authors
(Students/Research Scholars) / INR 6,000/-
National delegates (non-authors) / INR 3000/-
Accompanying persons / INR 2000/-
Registration fees only for track ‘PICC-2015’ / Publisher*
International Authors from Academic/R & D Organisations / INR 5,000.00 / IEEE xplore
Only for PICC track
International Authors
(Students/Research Scholars) / INR 3,000.00
National Authors from Industry / INR 5,000.00
National Authors from Academic Institutions / INR 3,000.00
National Authors
(Students/Research Scholars) / INR 2,000.00
National delegates (non-authors) / INR 3000/-
Accompanying persons / INR 2000/-

MODE OF PAYMENT

The registration fees may be remitted in the following modes
1. Demand Draft in favour of ICETEST - 2015 payable at Thrissur, India.
2. NET Banking with the relevant information furnished hereinbelow
Account Name :ICETEST - 2015
Account Number : 67321934020
Bank Name : STATE BANK OF TRAVANCORE
Branch Name : CHEROOR
Branch Code : 7207
IFSC/RTGS Code : SBTR0000207
Swift Code : SBTRINBBFED
MICR Code : 680009010