8th International Conference on Management of Data



Chennai (Madras), INDIA
18 - 20 December 1997
(Sponsored by Computer Society of India)


Theme: INTERNET AND DATABASES


REGISTRATION FORM
 

1.Personal Information(In Capital Letters Only)

Title:  Ms/Mr/Dr/Prof/Military ranks

Name :______________________________________________
      First Name
      
      ______________________________________________
      Middle Name
      
      ______________________________________________
      Last Name
	
         CSI Membership No:_________________________


Organization:_______________________________________	
	
             _______________________________________


Designation:________________________________________
	
            ________________________________________


Organization Address:

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

Phone:________________ Fax:_______________________

Email:____________________________________________


Communication Address:

	__________________________________________

	__________________________________________

	__________________________________________

	__________________________________________

Phone:_________________Fax:_______________________

Email:____________________________________________


For Foreigners Only:

Nationality:_____________________________

Passport No:_____________________________

Valid Upto :_________
            dd mm  yy


2.Charges:(In Indian Rupees For Indian Nationals & US $ for Foreign 
  Nationals)

+---------------------+----------------------+-----------------------+
|      Category       |        Conference    |        Per Tutorial   |
|_____________________|______________________|_______________________|
|                     |    Rs.         US$   |     Rs.         US$   |
|_____________________|______________________|_______________________|
|                     |                      |                       |
|    CSI Members      |  3,000         150   |    1,000         50   | 
|    Student Members  |  1,800         150   |      600         50   |
|    Others           |  3,500         150   |    1,250         50   |        
|_____________________|______________________|_______________________|


3.Payment:
	Category: CSI Member/Student Member/Others

 _______________________________________________________________
|                   |    Conference   |   Morning  |  Evening   | 
|                   |_________________|____________|____________|
|  Attending        |                 | T2  |  T3  |  T1  |  T4 |
|                   |                 |     |      |      |     |
+-------------------+-----------------+-----+------+------+-----+

[Please place `X' in the relevant box for attending]
[T2 and T3 are parallel sessions in the forenoon]
[T1 and T4 are parallel sessions in the afternoon]
                         

Conference Registration :___________________________

Tutorial Registration   :___________________________
No. of tutorials*      

	Total Amount    :___________________________


(Kindly add Rs.25/- extra for non-Chennai cheques.)

DD/CHEQUE No.:__________________________  Date:________________

Bank Name    :_________________________________________________

Branch Name  :_________________________________________________



(Credit Card Applicable for Foreign Nationals Only)

Credit Card No:_____________________________________

Issued By     :_____________________________________

Valid Upto    :_____________________________________

Amount: In Rs._________________  In $ ______________


Only DD will be accepted after 15 Nov 97
Cheques or Credit Card will not be accepted after 15 Nov 97





Participant's                  Place                   Date
Signature

 

Please send the completed Registration form to --

Dr D Janaki Ram,
PC Chair, COMAD '97,
Distributed and Object Systems Group,
Department of Computer Science and Engineering,
Indian Institute of Technology,
Chennai, INDIA 600 036

Conf. On Mgmt of Data
Last modified: Fri Oct 17 19:59:42 IST 1997