Online Registration Form
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Name *
Designation *
Affiliation *
Address *
Email Id *
Phone
Mobile *
Title of Research Paper (if applicable)
Presenter’s Name (applicable to authors)
Tick Registration Category *
Details of Payment through Demand Draft/Wire Transfer/Funds Transfer (Fill the relevant details)
Mode of Payment
Remitter’s Name(Sender’s name)
Bank Details
Payment Date
MM
/
DD
/
YYYY
DD No. (For Demand Draft), Transaction Id for others
Submit
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