Indosys 2017 Registration Form
Register for Indosys 2017 using this form. The faculty author of each accepted submission needs to fill this form on behalf of all the authors of that submission. Each accepted submission one faculty and at most two students can attend the symposium. Students not accompanied by faculty author are not allowed.
Your Details (Faculty Author)
Type in your full name *
Your answer
Gender *
Your answer
Correspondence Address *
Your answer
Contact mobile number
Your answer
Contact email address *
Your answer
Affiliation *
Your answer
Designation *
Highest Qualification Achieved
Indosys Submission Details
Indosys Paper Submission No. This is the submission number assigned by Easychair when you submitted your paper. *
Your answer
Paper Title *
Your answer
Student Author 1/Second author *
Your answer
Affiliation *
Your answer
Studying for (in case of student)/ Highest qualification (otherwise) *
Student Author 2
Your answer
Affiliation
Your answer
Studying for:
Registration Details
Registration fee of Rs. 2500/- for the faculty author and Rs 500/- for each student authors is applicable for Indosys 2017. Account details are in the attached image.
Indosys Registration Fee Bank Details
Registration Fee Amount *
Pick the total registration fee applicable based on the number of student authors (One faculty and at most two student authors are allowed to attend Indosys 2017.)
Transfer Mode (NEFT/RTGS) *
UTR Number *
UTR is Unique Transaction Reference number that is generated in NEFT/RTGS system for uniquely identifying any transaction. See the attached images for NEFT and RTGS sample s that help you locate the UTR number.
Your answer
NEFT Sample for UTR Number is underlined in RED color.
RTGS Sample for UTR Number is circled in BLACK color at the bottom.
Date of Transfer *
MM
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DD
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YYYY
Bank Name and Branch Name *
Your answer
Bank Address
Your answer
Accommodation Details
Confirmation subject to availability. Notification will be sent in a day.
Would you or your students like to avail IIT Bombay Guest House/Hostel Accommodation (subject to availability)
The guest house accommodation costs Rs. 2000/- per night and is subject to availability. The hostel accommodation costs Rs. 500/- per night and is subject to availability. We will inform you of the availability in a day.
Faculty using Guest House
Arrival Day
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YYYY
Departure day
MM
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DD
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YYYY
Student Author 1 using Hostel
Arrival Day
MM
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DD
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YYYY
Departure Day
MM
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DD
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YYYY
Student Author 2 using Hostel
Arrival Day
MM
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DD
/
YYYY
Departure Day
MM
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DD
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YYYY
Any Comments regarding registration.
Your answer
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