CONFERENCE REGISTRATION FORMirfconference.org/irf_include/doc/new_registration.pdf · 1. CONFERENCE...
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1. CONFERENCE DETAILS Current Date:…………….…… Conference Name:………………………………………………..…………………………………………………..…………..… Date of Conference….………………..….…( DD/MM/YY),Place of Conference.. ….. …………………….……… 2. Note: It is Mandatory to fill Universal Paper ID (*)……………………………..……………………………. (Kindly mention this while communicating in future with Team IRF) Paper/Article Title (*)…............................................................................... ………………………………………………….…….…………..………………………… ………………..……………………………………………………………………………. 3. NAME AND CONTACT DETAILS Author’s First Name Middle Last Age______ , SEX ____________ ( M/F) City State Country Correspondence Postal address (*)…………..……………………….. ……. ……………………………………………………………………………………………… …………………………………………………. Postal Pin…………………………… Mobile Number (*)……………………………………………………………….… Alternate Contact Number……………………………………………………… Email (*)……………………………………………….……..…………………….….. 4. AFFILATION 4.1College/University/Company(*)………………………………………… ……………………………………………….……………………………………………… ………………………………………………………………………………………….. 4.2 Designation (Student/Asst. Prof/Associate Prof/Professor/ /Research Associate/Others…………………………………….…………... 4.3Qualification (*) Graduation……………………………….………….... Post Graduation…………..……………………………………………….……. PhD./Post Doc………………………………………………………………. …. 4.4 No of Conference/Events Attended……………………….…………… 4.5 No of paper published……………………………………………………… 4.6 Guided by (*) Name…………………. ……………………….……….. …… Affiliation……………………………….…….………………..………….… Designation…………………………….……..……………..…………….. Email ID……………………………………………………….…….….…… Contact Number …………………………………….………………..….. 5. PAYMENT DEATAILS Amount…………………(USD/INR)Mode of transfer …………………… Bank Details………………………….…………………………………………….... Transactions ID…………………………………………………………….….…... Or Order ID………………………………………….... (For Debt/credit card payment) Date of Transfer (DD/MM/YY)…………………………………………........ (Mode of transfer: Online Banking/Cash deposit at bank /NEFT/Debt card/Credit card) only All (*) marked 6. ACCOMODATION DETAILS No. of Persons: ………………………….…. DOI of Arrival :……………………………..(DD/MM/YY) DOI of Departure:…………………………. (DD/MM/YY) (Accommodation will be provided by paying according to the Tariff of Hotel. For details contact to Conference Convener) 7. OTHER DETAILS 7.1 How did you get the information about this conference? Email allconferencealert.com From College conferencealert.com Referred by Friends Referred by Professor Other Websites………………………………………………(Specify) 7.2 Have you attended any conference organized by IRAJ Research Forum or its allied group before? Yes (Paper ID……………………………………….. ………) No 7.3 Will you personally attend the Event?(*) Yes No 7.4 No. of Persons attending the event with you?(Including your Co-authors) (*)________________________________________ . 7.5 Will your Professor/Guide/HOD/Principal attend the Event _______________________________________(Y/N) 7.6 IRAJ Membership ID………………………………………………………...…….. (Applicable for Existing IRF Members Only) 8. 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/Event Venue. 3. IRF has all rights reserved to shift the venue, rescheduling the date . 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 IRF Conferences. http://irfconference.org/rules 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 IRF Management 7. I am transferring the Copyright of my paper to IRF which is a part of Institute of Research and Journals 8. I have informed my Guide/HOD/Principal and Co-authors regarding this publication and Event. Author’s Signature (*)………………………………………………………..……………. Guide’s Signature……………………………………………………………………………... Co-author’s-1 Signature………………………………………………...…………………. Co-author’s-2 Signature……………………………………………....…………………… Other Co-author’s Signature…………………………………………………...…… NOTE: Send the scan copy of this form and Payment proof to Official mail ID (Only) of the conference before last date of Registration and bring this to the venue while attending the event with a valid ID Proof. CONFERENCE REGISTRATION FORM (Fill all Information in CAPITAL format only) Paste your Photo Here Our Official Website:www.irfconference.org
Transcript of CONFERENCE REGISTRATION FORMirfconference.org/irf_include/doc/new_registration.pdf · 1. CONFERENCE...
1. CONFERENCE DETAILS Current Date:…………….……
Conference Name:………………………………………………..…………………………………………………..…………..…
Date of Conference….………………..….…( DD/MM/YY),Place of Conference..…..…………………….………
2.
Note: It is Mandatory to fill
Universal Paper ID (*)……………………………..……………………………. (Kindly mention this while communicating in future with Team IRF)
Paper/Article Title (*)…...............................................................................
………………………………………………….…….…………..…………………………
………………..…………………………………………………………………………….
3. NAME AND CONTACT DETAILS
Author’s First Name Middle Last
Age______ , SEX _ _ _ _ _ _ _ _ _ _ _ _ ( M/F)
City State
Country
Correspondence Postal address (*)…………..………………………..…….
………………………………………………………………………………………………
………………………………………………….Postal Pin…………………………… Mobile Number (*)……………………………………………………………….…
Alternate Contact Number……………………………………………………… Email (*)……………………………………………….……..…………………….….. 4. AFFILATION
4.1College/University/Company(*)…………………………………………
……………………………………………….………………………………………………
…………………………………………………………………………………………..
4.2 Designation (Student/Asst. Prof/Associate Prof/Professor/
/Research Associate/Others…………………………………….…………...
4.3Qualification (*) Graduation……………………………….…………....
Post Graduation…………..……………………………………………….…….
PhD./Post Doc……………………………………………………………….….
4.4 No of Conference/Events Attended……………………….……………
4.5 No of paper published………………………………………………………
4.6 Guided by (*) Name………………….……………………….………..……
Affiliation……………………………….…….………………..………….…
Designation…………………………….……..……………..……………..
Email ID……………………………………………………….…….….……
Contact Number…………………………………….………………..…..
5. PAYMENT DEATAILS
Amount…………………(USD/INR)Mode of transfer ……………………
Bank Details………………………….……………………………………………....
Transactions ID…………………………………………………………….….…...
Or Order ID………………………………………….... (For Debt/credit card payment)
Date of Transfer (DD/MM/YY)…………………………………………........
(Mode of transfer: Online Banking/Cash deposit at bank /NEFT/Debt card/Credit card) only
All (*) marked
6. ACCOMODATION DETAILS
No. of Persons: ………………………….….
DOI of Arrival :……………………………..(DD/MM/YY) DOI of Departure:…………………………. (DD/MM/YY)
(Accommodation will be provided by paying according to the Tariff of Hotel. For details contact to Conference Convener)
7. OTHER DETAILS
7.1 How did you get the information about this conference?
Email allconferencealert.com
From College conferencealert.com
Referred by Friends Referred by Professor
Other Websites………………………………………………(Specify)
7.2 Have you attended any conference organized by IRAJ Research Forum
or its allied group before?
Yes (Paper ID……………………………………….. ………) No
7.3 Will you personally attend the Event?(*)
Yes No
7.4 No. of Persons attending the event with you?(Including your
Co-authors) (*)________________________________________ .
7.5 Will your Professor/Guide/HOD/Principal attend the Event
_______________________________________(Y/N)
7.6 IRAJ Membership ID………………………………………………………...…….. (Applicable for Existing IRF Members Only)
8. 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/Event Venue. 3. IRF has all rights reserved to shift the venue, rescheduling the date . 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 IRF Conferences. http://irfconference.org/rules
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 IRF Management
7. I am transferring the Copyright of my paper to IRF which is a part of Institute of Research and Journals 8. I have informed my Guide/HOD/Principal and Co-authors regarding this publication and Event.
Author’s Signature (*)………………………………………………………..…………….
Guide’s Signature……………………………………………………………………………...
Co-author’s-1 Signature………………………………………………...………………….
Co-author’s-2 Signature……………………………………………....……………………
Other Co-author’s Signature…………………………………………………...……
NOTE: Send the scan copy of this form and Payment proof to Official mail ID (Only) of the conference before last date of Registration and bring this to the
venue while attending the event with a valid ID Proof.
CONFERENCE REGISTRATION FORM (Fill all Information in CAPITAL format only)
Paste your Photo Here
Our Official Website:www.irfconference.org
Optional page
Other Information(If any)……………………………………………………………............................................
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………..
