reg form

International Conference On Electrical, Electronics, Computer Science & Mechanical Engineering(ICEECSME), 15th December, 2013, Bhubaneswar, India

http://ieeeconf.com/Bhubaneswar/ICEECSME Email: : [email protected] FormNOTE: To avoid delays in registration, PLEASE RETURN the Registration Form, Final Papers, and Copyright

Form and the scanned payment proof to [email protected] (Before last date)

I. Participant Information (中国作者请用中文填写,以方便邮寄)

*First Name: *Family Name:

*Position: Prof. □ Assoc. Prof. □ Asst. Prof. □ Dr. □ Mr. □ Ms. □

* Will you attend the conference in person?Yes □*Participant’s name: All the materials of participation will be prepared under this name, One registration

invite one author to come Any changes, please inform us 30 days before the conference, or the participant

should be responsible for the consequences.*Participant’s Affiliation(Organization or University):

One-inch-Photo here(*please take a photo to the conference if you didn’t put one here)

No □

*Mailing Address:Please provide the details of your address to make sure you receive the materials.

*City: *State/Province:

*Country: *ZIP/Post Code:

*Tel.: *E-mail: Fax:

Student ID Number: SCIEI Member Number:

*Paper ID:

*Paper Title:

*Paper Authors:

*Paper Pages: Additional Page:

Special dietary:Diabetic □ Vegetarian □ Muslim □ Other □ (please specify: )

II. Conference Fees (by US Dollar) ***

Registration Fee Author outside of India

Registration Fee Author of India

Authors (Academician/Practitioner) 250 USD 9000 INR

Authors (Student M.tech/PhD) 200 USD 7000 INR

Authors (B.Tech) 150 USD 6000 INR

Listeners: 50 USD 3000 INR

Keynote Speaker Free Free

Additional Paper (s)** 100 USD 5000 INR

Additional 0 USD / One Page 1000 INR / One Page

Extra Proceeding 50 USD 2000 INR

* One regular registration can cover a paper within SIX pages , including all figures, tables, and references. ** One regular registration with one or more additional papers has only ONE proceeding book. *** For the authors who have difficulties to pay US Dollars, such as Iranian, please pay Euros as: 1 Euro = 1.25 USD

Remitter’s A/C No.

Remitter’s Name:

Remit date:

Remit amount:

ICEECS - Goa 2013 conference committeeINDIA

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