conference registration formirfconference.org/irf-include-2018/doc/new_registration.pdf · form and...

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1. CONFERENCE DETAILS Current Date:…………….…… Conference Name:………………………………………………..…………………………………………………..…………..Date of Conference….………………...( DD/MM/YY),Place of Conference.. .. …………………….……… 2. Universal Paper ID (*)……………………………..……………………………. (Kindly mention this while communicating in future with Team IRF) Paper/Article Title (*)…............................................................................... ………………………………………………….…….…………..………………………… ………………..……………………………………………………………………………. 3. NAME AND CONTACT DETAILS Authors First Name Middle Last Age______ , SEX ____________ ( M/F) City State Country Correspondence Postal address (*)…………..……………………….. ……. ……………………………………………………………………………………………… …………………………………………………. Postal Pin…………………………… Mobile Number (*)……………………………………………………………….Alternate Contact Number……………………………………………………… Email (*)……………………………………………….……..…………………….….. 4. AFFILATION 4.1College/University/Company(*)………………………………………… ……………………………………………….……………………………………………… ………………………………………………………………………………………….. 4.2 Designation (Student/Asst. Prof/Associate Prof/Professor/ /Research Associate/Others…………………………………….…………... 4.3Qualification (*) Graduation……………………………….………….... Post Graduation…………..……………………………………………….……. PhD./Post Doc………………………………………………………………. …. 4.4 No of Conference/Events Attended……………………….…………… 4.5 No of paper published……………………………………………………… 4.6 Guided by (*) Name…………………. ……………………….……….. …… Affiliation……………………………….…….………………..………….… Designation…………………………….……..……………..…………….. Email ID……………………………………………………….…….….…… Contact Number …………………………………….……………….... 5. PAYMENT DEATAILS Amount…………………(USD/INR)Mode of transfer …………………… Bank Details………………………….…………………………………………….... Transactions ID…………………………………………………………….….... Or Order ID………………………………………….... (For Debt/credit card payment) Date of Transfer (DD/MM/YY)…………………………………………........ (Mode of transfer: Online Banking/Cash deposit at bank /NEFT/Debt card/Credit card) only 6. ACCOMODATION DETAILS No. of Persons: ………………………….. DOI of Arrival :……………………………..(DD/MM/YY) DOI of Departure:…………………………. (DD/MM/YY) (Accommodation will be provided by paying according to the Tariff of Hotel. For details contact to Conference Convener) 7. OTHER DETAILS 7.1 How did you get the information about this conference? Email allconferencealert.com From College conferencealert.com Referred by Friends Referred by Professor Other Websites………………………………………………(Specify) 7.2 Have you attended any conference organized by IRF Conference or its allied group before? Yes (Paper ID……………………………………….. ………) No 7.3 Will you personally attend the Event?(*) Yes No 7.4 No. of Persons attending the event with you?(Including your Co-authors) (*)________________________________________ . 7.5 Will your Professor/Guide/HOD/Principal attend the Event __________(Y/N) 7.6 Do you want to publish this paper in international journal after the conference suggested by IRF Management _________________________________(Y/N) 8. DECLARATION/UNDERTAKING(*) (Read Carefully before Sign) 1. I have not published this paper anywhere before. 2. I will not cause or involve in any sort of violence or disturbance within and Outside of the Conference/Event Venue. 3. IRF has all rights reserved to shift the venue, rescheduling the date at any time . 4. I and all my co-authors have provided the Original identity inside the paper. 5. I have read and agreed all the information carefully provided in the Conference website http://irfconference.org/rules for attending and publishing in the IRF Conferences. 6. I do here by declare that all the information given by me is true and if at any moment it is found to be wrong my registration for event will be cancelled by IRF Management 7. I am transferring the Copyright of my paper to IRF which is a part of Institute of Research and Journals 8. I have informed my Guide/HOD/Principal and Co-authors regarding this publication and Event. Authors Signature (*)………………………………………………………..……………. Guides Signature……………………………………………………………………………... Co-authors-1 Signature………………………………………………...…………………. Co-authors-2 Signature……………………………………………....…………………… Other Co-authors Signature………………………………….......………………...…… NOTE: Send the scan copy of this form and Payment proof to Official mail ID (Only) of the conference before last date of Registration and bring this to the venue while attending the event with a valid ID CONFERENCE REGISTRATION FORM (Must fill all * marked Information and all fields in CAPITAL format only ) Paste your Photo Here Official Website: www.irfconference.org

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Page 1: CONFERENCE REGISTRATION FORMirfconference.org/IRF-INCLUDE-2018/doc/new_registration.pdf · form and Payment proof to Official mail ID (Only) of the conference before last date of

1. CONFERENCE DETAILS Current Date:…………….……

Conference Name:………………………………………………..…………………………………………………..…………..…

Date of Conference….………………..….…( DD/MM/YY),Place of Conference..…..…………………….………

2.

Note: It is Mandatory to fill

Universal Paper ID (*)……………………………..……………………………. (Kindly mention this while communicating in future with Team IRF)

Paper/Article Title (*)…...............................................................................

………………………………………………….…….…………..…………………………

………………..…………………………………………………………………………….

3. NAME AND CONTACT DETAILS

Author’s First Name Middle Last

Age______ , SEX _ _ _ _ _ _ _ _ _ _ _ _ ( M/F)

City State

Country

Correspondence Postal address (*)…………..………………………..…….

………………………………………………………………………………………………

………………………………………………….Postal Pin…………………………… Mobile Number (*)……………………………………………………………….…

Alternate Contact Number……………………………………………………… Email (*)……………………………………………….……..…………………….….. 4. AFFILATION

4.1College/University/Company(*)…………………………………………

……………………………………………….………………………………………………

…………………………………………………………………………………………..

4.2 Designation (Student/Asst. Prof/Associate Prof/Professor/

/Research Associate/Others…………………………………….…………...

4.3Qualification (*) Graduation……………………………….…………....

Post Graduation…………..……………………………………………….…….

PhD./Post Doc……………………………………………………………….….

4.4 No of Conference/Events Attended……………………….……………

4.5 No of paper published………………………………………………………

4.6 Guided by (*) Name………………….……………………….………..……

Affiliation……………………………….…….………………..………….…

Designation…………………………….……..……………..……………..

Email ID……………………………………………………….…….….……

Contact Number…………………………………….………………..…..

5. PAYMENT DEATAILS

Amount…………………(USD/INR)Mode of transfer ……………………

Bank Details………………………….……………………………………………....

Transactions ID…………………………………………………………….….…...

Or Order ID………………………………………….... (For Debt/credit card payment)

Date of Transfer (DD/MM/YY)…………………………………………........

(Mode of transfer: Online Banking/Cash deposit at bank /NEFT/Debt card/Credit card) only

6. ACCOMODATION DETAILS

No. of Persons: ………………………….….

DOI of Arrival :……………………………..(DD/MM/YY) DOI of Departure:…………………………. (DD/MM/YY)

(Accommodation will be provided by paying according to the Tariff of Hotel. For details contact to Conference Convener)

7. OTHER DETAILS

7.1 How did you get the information about this conference?

Email allconferencealert.com

From College conferencealert.com

Referred by Friends Referred by Professor

Other Websites………………………………………………(Specify)

7.2 Have you attended any conference organized by IRF Conference or its

allied group before?

Yes (Paper ID……………………………………….. ………) No

7.3 Will you personally attend the Event?(*)

Yes No

7.4 No. of Persons attending the event with you?(Including your

Co-authors) (*)________________________________________ .

7.5 Will your Professor/Guide/HOD/Principal attend the Event __________(Y/N)

7.6 Do you want to publish this paper in international journal after the

conference suggested by IRF Management _________________________________(Y/N)

8. DECLARATION/UNDERTAKING(*) (Read Carefully before Sign)

1. I have not published this paper anywhere before. 2. I will not cause or involve in any sort of violence or disturbance within and

Outside of the Conference/Event Venue. 3. IRF has all rights reserved to shift the venue, rescheduling the date at any time . 4. I and all my co-authors have provided the Original identity inside the paper. 5. I have read and agreed all the information carefully provided in the

Conference website http://irfconference.org/rules for attending and publishing in the IRF Conferences.

6. I do here by declare that all the information given by me is true and if at any moment it is found to be wrong my registration for event will be cancelled by IRF Management

7. I am transferring the Copyright of my paper to IRF which is a part of Institute of Research and Journals 8. I have informed my Guide/HOD/Principal and Co-authors regarding this publication and Event.

Author’s Signature (*)………………………………………………………..…………….

Guide’s Signature……………………………………………………………………………...

Co-author’s-1 Signature………………………………………………...………………….

Co-author’s-2 Signature……………………………………………....……………………

Other Co-author’s Signature………………………………….......………………...……

NOTE: Send the scan copy of this

form and Payment proof to Official

mail ID (Only) of the conference

before last date of Registration and

bring this to the venue while

attending the event with a valid ID

Proof.

CONFERENCE REGISTRATION FORM (Must fill all * marked Information and all fields in CAPITAL format only )

Paste your Photo Here

Official Website: www.irfconference.org

Page 2: CONFERENCE REGISTRATION FORMirfconference.org/IRF-INCLUDE-2018/doc/new_registration.pdf · form and Payment proof to Official mail ID (Only) of the conference before last date of

Optional page

Other Information(If any)……………………………………………………………............................................

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………..