27th Annual Conference of NAOP-2017
REGISTRATION FORM FOR THE CONFERENCE
Your Name *
Your answer
Gender *
Designation *
Your answer
Institution/ University/ Organisation and Location (For Example : Indian Institute of Technology Kharagpur, West Bengal, India) *
Your answer
Full Address with Postal Code *
Your answer
Email Id *
Your answer
Mobile Phone No. *
Your answer
Tel/Fax No if Any
Your answer
Registration Type *
Are you a Member of NAOP *
NAOP membership number/email id (if applicable) If not applicable, please mention NA. If you don't remember your membership number, kindly mention the email id you had provided while taking membership for our verification. *
Your answer
Registration category (Students are required to submit either bonafide certificate or photocopy of ID). *
Are you attending any Pre-conference workshop? *
Title of the Pre-conference workshop (All Pre-conference workshops will take place simultaneously; hence, one participant may register only for one workshop).
Registration fee (Please mention registration fee applicable to your category) *
Your answer
Pre-conference workshop fee
Total amount paid (Registration fee + Pre-conference workshop fee) *
Your answer
Date of transaction *
MM
/
DD
/
YYYY
Issuing Bank and Branch *
Your answer
NEFT UTR Number/ DD Number/Transaction Number *
Your answer
Author of any paper(s)? *
Co-author of any paper(s)? *
Details of Paper(s):Title, Paper ID, Author(s), Track (Mention "NA" if not applicable). *
Your answer
For which of the above paper(s), you are the presenter? (Mention title of paper(s) or Paper ID. Non-presenters and others, please mention NA). *
Your answer
Do you need accommodation? *
Please mention the type of accommodation you would like to have (to know the types of accommodation available please visit http://naopiitkgp2017.com/accommodation.php)
Your answer
Students are only eligible for hostel accommodation. If you are a student/research scholar please choose one of the followings: *
Please complete this form and to confirm your participation, post the demand draft or proof of payment transfer (with your name and contact number clearly mentioned on it) to the following address: Dr. Rabindra Kumar Pradhan, 27th NAOP Annual Conference,2017, Department of Humanities and Social Sciences, IIT Kharagpur, Kharagpur– 721302, West Bengal, India. Phone: 03222-282346. Additionally, students should also send bonafide certificate/ photocopy of ID.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms