NCVPRIPG-2015 Registration
First Name* :
Last Name* :
Prefix* :
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Prof.
Dr.
Mr.
Ms.
Address* :
City*:
State* :
Country* :
Zip Code*:
Mobile No.* :
Email ID* :
Fax :
If Author :
1. a)Paper CMT Portal Number(s) :
1. b)Paper Title :
2. a)Paper CMT Portal Number(s) :
2. b)Paper Title :
3. a)Paper CMT Portal Number(s) :
3. b)Paper Title :
Category of Authors :
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Academician
Full-Time Student
Others
Are you attending Tutorial ?
Please Select One
Yes
No
Summery of Registration Fee after Due Date 15th Oct-2015 :
Registration Fee
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Full Conference Fee IEEE/IUPRAI Members Rs 9000.00
Full Conference Fee Non-IEEE/Non-IUPRAI Members Rs 10000.00
Students(Only Conference) Rs 4500.00
Students(Conference + Tutorial) Rs 5500.00
Students (Only Tutorial) Rs 2000.00
Not Applicable
Payment Mode :
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Online(Bank Transfer/NEFT)
Offline(Demand Draft)
Bank Transaction number/Demand Draft(DD) number :
Do you need accommodation at IIT Patna Student Hostel ?
Please Select One
Yes
No
Please Email [Transaction/Demand Draft] copy to ncvpripg2015[at]iitp.ac.in