ICIRT 2015
Registration Form (Please fill this form after payment made)
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Title of the Paper *
Paper ID *
Author Names *
Institution Names *
Designation *
Department *
E-Mail ID's *
Mobile Number *
Registration fees paid for Number of certificates ? *
Date of Registration *
MM
/
DD
/
YYYY
Registration fee paid *
Amount Paid ? *
Mode of Payment *
Send payment details to : icirt2015@gmail.com
Are you attending the Conference *
Alternative (if not possible to attend the conference)  (We will send you the conference certificates to your Postal address)
Accommodation Required (Additional Charges Applicable) *
Submit
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