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2018 4th INTERNATIONAL CONFERENCE ON ELECTRICAL ENERGY SYSTEMS

ICEES 2018
REGISTRATION FORM

1. Paper No.:
2. Paper Title:
3. Presenting Author Name:
(# Please attach a copy of Photo ID of your institution/organisation)

4. Affiliation:
5. Contact Address:

6. Email:
7. Phone:
8. If the presenting author is an IEEE member: Yes/No
(if yes, please attach a copy of the IEEE membership card)

9. Registration Category (please tick the box):


ACADEMIC FACULTY / RESEARCH SCHOLAR STUDENT INDUSTRY PARTICIPATION

10. If more than one author attending the conference apart from the presenting author: Yes/No
11. If yes, fill the details below (full registration fee is to be paid depending on registration category and IEEE membership):
Registration IEEE / Non IEEE
SN Name of the Author Affiliation Category Member

12. If more than one author needs only the certificate apart from the presenting author: Yes /No
13. If yes, fill the details below (50% registration fee is to be paid depending on registration category and IEEE membership):
Registration IEEE / Non IEEE
SN Name of the Author Affiliation Category Member
14. Payment details:
(Total amount includes registration fee of presenting author + full registration fee for the attending author + 50% registration fee for the author
who needs only the certificate)

Demand Draft payment (please attach the scan copy of demand draft):

DD number DD drawn date


Bank where DD is
Total Amount
taken

Online payment (please attach the copy of transaction details):


[Specify the "ICEES 2018 - Paper No-xxxx" in the remarks field while making online transactions]
Online
Date & Time
Transaction ID
Transaction Bank
Place & Country
Name
Total Amount

Please send the soft copy of the registration form along with the following documents:
Photo ID card of your institution/organisation,
IEEE membership card (if applicable) and
Transaction details of registration fee (DD/Online).
Specify the paper number in the PDF filename and send the details to icees2018@ssn.edu.in.

Date: Signature
Place: