REGISTRATION FORM
Name :____________________________________________________________
Organization
/ Institution :_______________________________________________
Address :___________________________________________________________
__________________________________________________________________
City :_________________________________ Zip
Code :____________________
Country :__________________________
Tel/ Fax :_________________________
E-mail :____________________________________________________________
Category of
Registration :_______________________________________________
Fee Details:
|
Category |
WCVGIP only |
WCVGIP &ACCV |
|
Authors |
3000 |
5000 |
|
Non-authors |
3000 |
6000 |
|
Students* |
1500 |
2500 |
* Student participants should enclose a proof of their
status.
Particulars of Demand Draft (to be drawn
in favor of IIIT Hyderabad, payable at
Amount: Rs ____________________________ Draft No: ___________________
Name of the Bank: _______________________ Date:
_______________________
Signature: ______________________________
Send this form along with the Demand Draft to :
WCVGIP Secretariat
Centre for Visual Information Technology (CVIT)
International Institute of Information Technology (IIIT)
Gachibowli,
Phone: +91 40 23001967 Ext: 255
Fax: +91 40 23000721
Email:
wcvgip@iiit.ac.in