Registration Form

The registration details will be updated shortly.

Registration Form

Title:

Full Name*:

Designation:

Organization:

Office / Correspondence Address*:

Country:*:

Nationality :*:

Email*:

Gender :

Passport No.: (For Foreign Nationals only)

Place of Issue :

Date of Issue :

Date of Expiry: :

Title of the Paper:

Presentation*:

Special Requirement if any:

Registration Fee:

Bank Details for Offline Payment:

Indian Nationals

Accompanying Person*:

Bank Details for Offline Payment (only for Indian Nationals)

Account Name :   Amar Jyoti Charitable Trust – ICIE 2018
Account No. :    065694600000016
Bank :           Yes Bank Ltd.
IFSC  Code:  YESB0000656

 

Bank Details for Offline Payment (only for Foreign participants)

Account Name :    Amar Jyoti Charitable Trust
Account No. :    0267101006693
Bank :           Canara Bank Ltd.
IFSC Code:    CNRB0000267
Swift Code:    CNRBINBBDFS