Registration Form

Author Name (Prof./Dr.)*

Designation*

Affiliation*

Gender (Male/Female)* Select Gender Male Female

Address*

Country*

Mobile Number* Mobile number should not start with 0.

Email*

Paper ID*

Paper Title*

Delegate Status (Indian/Foreign)* Select Delegate Status Indian Foreign

Registration Fees (INR/USD)*

The workshop is Complimentary for registered authors, attending: Yes or No Please select Yes No

Payment Reference (if paid by wire transfer/net banking):

Sender's Name*

Payment Date*

Bank Details*

Transaction ID*