ICSIMA2017 Registration Form
Before you continue, please make sure you have received the acceptance letter (download from your author account) and you have paid the registration fees as instructed in the acceptance letter. You are requested to upload the payment slip (or any other forms of payment proofs). If you would like to register under the student fee, you are requested to upload the active student ID. If you want to use credit card please read the payment by credit card.
Part A: Personal Particulars
Associate Professor Dr.
2. Name (eg: Mathew Chong)
3. Email (eg:
4.University/Affiliation (eg: UCSI University)
5. State/Country (eg: Malaysia)
6. Participation as:
Part B: Registration Details
Non IEEE Member
IEEE Student Member
9. IEEE Member: Upload Membership Card
Please upload your proof of membership card. Files must less than 5 MB
10. Student: Upload Student Card
Please upload your proof of student card. Files must less than 5 MB
Part C: Paper Details
11a. Paper1 ID and Title (eg: 125436 - The development of ultrasonic using Maple)
11b. Paper2 ID and Title (eg: 125437 - The analysis of PV solar based on real-time fault diagnosis)
11c. Paper3 ID and Title (eg: 125438 - The development of wsn for flood monitoring)
Part D: Payment Details
12. Type of payment
13. Proof of payment
Thank you for your participation and cooperation.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service