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: nipsea2019@gmail.com

For inquiries, please contact Dr. Pavananthi Vembulu (+91-9787146693)

Dr. V.P. Prabhakaran (+91-9442026474)