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INTERNATIONAL CONFERENCE
ON
RECENT INNOVATIONS IN TECHNOLOGY ENGINEERING AND MANAGEMENT

ICRITEAM 2K17
EVENT REGISTRATION FORM

PLEASE KINDLY FILL IN A SEPARATE REGISTRATION FORM FOR EACH CONFERENCE PARTICIPANT
Personal Details
Name :

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Affiliation :
City, Zip, Country : Passport Number :
Phone No : Email ID :
PAPER INFORMATION
Paper ID : Title of the Paper :
Authors :
Co-Authors Details : : :
Guided by : Mail ID :
Contact No : Affiliation :
PAYMENT INFORMATION :
Total Amount (USD/INR) Bank Name Remitter Date Ref. No
For online transfer (Debt card/Credit card/Online Banking) Order ID/Transaction ID:
Payment of a registration fee covers the cost to attend all conference activities, coffee breaks, conference reception and all lunches during the conference. In addition, each Participant will receive a copy of the conference proceedings in CD format. Notice that this registration fee does not cover transportation fee, accommodation fee.

Note: It is mandatory to provide a scan copy of WORKING/COLLEGE ID Proof along with this Registration form

ADDITIONAL INFORMATION :
Will you present physically at the event
No. of Persons attending the event with you?(Including your Co-authors)
Will your Guide/HOD/Principal will attend the Event?
Remarks

Declaration & Undertaking
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. ICRITEAM-2K17 has all rights reserved to shift the venue, rescheduling the date of the Event.
4. 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 ICRITEAM-2K17 and take necessary action against me.
5. I am transferring the Copyright of my paper to ICRITEAM-2K17

I Agree the above Declaration

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© 2013. Eswar, Narasaraopet, Guntur District, A.P, INDIA, College:08647 218256, Email:eswarcollegeofengg@gmail.com