REGISTRATION FORM
Email address *
Title 1.Dr. 2. Mr. 3. Ms. 4. Prof.
Please specify the Title
Name of the Participant:
Affiliation
Mailing Address
City, Zip, Country
Passport Number
Mobile
Email
ACCEPTED PAPER INFORMATION
Paper ID
Title of the paper
Authors
Co-Author 1
Co-Author 2
Co-Author 3
PAYMENT INFORMATION
TOTAL AMOUNT (INR)
BANK NAME
REMITTER
DATE
MM
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DD
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YYYY
REF. NO
For online transfer(Debt card/Credit card/Online Banking/UPI) - Order ID/Transaction ID:
ACCOMMODATION DETAILS
NO. OF PERSONS
DATE OF ARRIVAL (DD/MM/YY)
MM
/
DD
/
YYYY
DATE OF DEPARTURE (DD/MM/YY)
(Accommodation will be provided by paying according to the Tariff of Hotel. For details contact 9849039824 / 9885436982/ 9949550576)
Payment of registration fee covers the cost to attend all conference activities, coffee breaks, conference reception and banquet, and all lunches during the conference. In addition, each registrant will receive a copy of the conference proceedings with ISBN. Notice that this registration fee does not cover transportation fee, accommodation fee, and after conference tour fee.

Note: It is mandatory to provide a scanned copy of ID Proof along with this Registration form

ADDITIONAL INFORMATION
Will you present physically at the event
No. of Persons attending the event with you?(Including your Co-authors)
Whether accommodation is required
Declaration & Undertaking
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. ICIRMPS has all rights reserved to shift the venue and rescheduling the date of the Event.
4. 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 ICIRMPS and can take necessary action against me.
5. I am transferring the Copyright of my paper to ICIRMPS
Please Upload Photographs
Please Upload Signature
Current Date(DD/MM/YY):
MM
/
DD
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YYYY
Remarks
Please complete this form and email a scanned copy to:intconf@icicmps.com / fill the details in an online google form in www.icirmps.com
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