INTERNATIONAL CONFERENCE REGISTRATION FORM

1Participat Details

Title ^*

Full Name^*

Gender^*

Designation^*

Department^*

Organization/Institution^*

Country ^*

Postal Address^*

Email ID^*

Mobile Number (with Country Code)^*

2Registration Category

Category^*

3Paper Details (For Authors Only)

Paper Title ^*

Conference Track^*

Corresponding Author^*

Co-Author(s)^*

Mode of Presentation^*

4Accomm7dation Requirement

Do you require accommodation assistance?^*

5Payment Details

Registration Fee Amount ^*

Payment Mode ^*

Transaction Reference Number ^*

Date of Payment ^*

Amount Paid ^*

Upload Payment Receipt / Proof^* (Files accepted only: .jpeg, .png, .jpg - Max file size: 1MB)

6Special Requirement

Dietary Restrictions^*

Special Assistance Required^*

7Consent and Declaration

Please accept the terms and conditions below.

I hereby declare that the information provided above is true and correct. I agree to abide by the rules and regulations of the conference. Registration fee is non-refundable. I grant permission to use photographs/videos for promotional purposes.

IC-AMSES International Conference Registration Form