REGISTRATION FORM
Mr Mrs Dr Prof
Name_____________________________________________________________
University/College/Organization/: _________________________________________
Address:___________________________________________________________________________________________________________________________________________________________________________________________________________
E-mail: ________________________________ Mobile: _________________
PositionsPLEASE CHECK APPROPRIATE POSITION:Student Ph.D. StudentFaculty Member (College)Faculty Member (University)JournalistDefense PersonnelThink-Tank GroupOthers (-----------------------------------------------)
CONFERENCE FEESRegistration Fees Includes lunches, conference proceedings, conference accessories and coffee breaks.
PLEASE CHECK APPROPRIATE REGISTRATION FEE:Student (Participation only) Rs 500Student (Paper Presenters) Rs 750Authors and Co-Authors Rs 1000Publication of Conference proceedings Rs 500
Count me for lunch: Tus Wed Thu Vegetarian meals required: PAYMENT METHOD
PLEASE CHECK APPROPRIATE METHODDemand DraftOnline Bank Transfer
Details for Payment made by Demand Draft
In favor of: NIPSEA-MKU 2019Payable at: Madurai
Details for Payment made by online bank transfer at:
Bank Name: SBIAccount Name: NIPSEA-MKU 2019Bank Branch code: 2235IFSC code: SBIN0002235Account number: 38635070974
PLEASE GIVE PAYMENT DETAILS
DD NUMBER ------------------------------ DATE -------------------------------
ONLINE TRANSFER REFERENCE NUMBER --------------------------- DATE ----------------
DETAILS OF PAPER PRESENTATIONPLEASE CHECK LANGUAGE OF YOUR PRESENTATION:EnglishTamil
PLEASE CHECK THE THEMATIC OF YOUR PAPER:The Idea of Indo-Pacific: Between Theory & PracticeGeopolitical Imagination of Indo-PacificGeoeconomics of Indo-Pacific: Belts, Roads & CorridorsModeling Security Architectures for Indo-Pacific
ACCOMMODATION REQUIRMENT
PLEASE CHECK WHETHER YOU NEED UNIVERSITY ACCOMMODATION:YesNo
Completed registration must be sent as Word document or PDF by 20th OCTOBER, 2019 to: [email protected]
For inquiries, please contact Dr. Pavananthi Vembulu (+91-9787146693)
Dr. V.P. Prabhakaran (+91-9442026474)
