Registration_form

Name*

First Middle Last

Sex*

Email*

Enter valid email address, a copy of the data entered during registration will be sent.

Phone*

Affiliation*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Want to register as accompanying person?*

Paper Id*

Enter 00x if paper id is 'x' and enter 0xy if paper id is 'xy'

Title of the paper*

Enter the recent title

Whether IEEE Member?*

IEEE Membership No.

IEEE Membership Valid through

Request to present paper in virtual mode*

The Conference is Physical. Only for outstation candidates under special conditions, virtual mode of presentation is acceptable (Under the discretion of the conference committee).

Meal Preference*

Reason for presentation in virtual mode*

Author / Accompanying person is From India or outside India?*

How the registration amount has been remitted ? Indian Authors (in INR) or International Authors (in USD)

Registration Category for authors/accompanying person from India*

Registration Category for authors/accompanying from Outside India*

Please upload the transaction slip or screenshot or image of payment receipt (scan or photo)

Upload the receipt or screenshot of payment of the registration fee*

Accepted file types: jpg, gif, png, Max. file size: 15 MB.

Only in JPG or PNG format

Name of the Bank used for Registration fee payment*

Reference Number/ Transaction ID and other transaction details obtained after payment of the Registration fee*

Date on which Registration fee deposited (dd/mm/yyyy)*

Upload the Title, Authors information and Abstract as per the specified MS word (*.doc) template*

Accepted file types: doc, Max. file size: 15 MB.

(click to download the template)

Name

This field is for validation purposes and should be left unchanged.

IEEE Kalyani Government Engineering College

DevIC 2023: Online Registration form