UNIVERSAL URC CONFERENCE REGISTRATION FORM

RESEARCH CLUSTER
www.universal-conference.com
DATE of Event (DD/MM/YY): ____/_____/____ PLACE OF EVENT________________________________ NAME OF EVENT______________________________________________________

Instructions:
CONFERENCEFORA REGD.
ID/PAPER ID.
1. All fields must be
Paste your photo here
PAPER TITLE filled in English with
(Mandatory)
(NOT APPLICABLE FOR LISTNER CAPITAL letters only.
REGISTRATION)
(Photo must match your passport or Govt.
2. All fields are Issued ID card )
MANDATORY to be
AUTHOR’S NAME
filled
Highest Qualification Age

ADDITIONAL INFORMATION (Mandatory to fill all)

Universal
 Will you be present physically at the
event__________________________________________________(Y/N).
Nationality Passport  No. of persons attending the event with you?(Including
Number your Co-authors)_____________________________________________.
 Will your Guide/HOD/Principal be attending the
Mailing Address or
Postal Address
(with country and PIN Code)

Mobile Number
Research Cluster 


Event?__________________________________________________(Y/N).
Total years of experience (if any, in the field of
Academics or Industry)_____________________________________.
Tell us how you came to know about this conference or
(With Country code) event__________________________________________________________.
Or Whatsapp Number  Are you informed about all rules and regulations of
Email ID UNIVERSIAL RESEARCH CLUSTER for attending the
conference and publishing the paper
1. __________________________________________________(Y/N).
Name of Co-Authors  This paper was guided by (Guide’s Information).
2.
Name__________________________________________________________
3. Affiliation______________________________________________________

Email__________________________________________________________
REGISTRATION DETAILS
Contact Number______________________________________________
Amount Transferred In USD or INR
Declaration & Undertaking
1. I and my co-authors have not published this paper anywhere before and I am
 OFFLINE PAYMENT transferring the Copyright of my paper to UNIVERSIAL RESEARCH CLUSTER to print in the
(Using NEFT/Cash deposit to our bank account/online third party Conference Proceeding and Journals decided by UNIVERSIAL RESEARCH CLUSTER
Management.
transfer) 2. I will not cause or be involved in any sort of violence or disturbance, within or outside
Date of transfer(DD/MM/YY) of the Conference/Event Venue and during my travel to the venue in any Country during
my Visa Period.
3. UNIVERSIAL RESEARCH CLUSTER has all rights reserved to shift the venue,
Your Bank Name & Address rescheduling the date and timing of the Event at any time.
4. In case of cancellation or re-scheduled of this event to other place or date at any time
Transaction ID , UNIVERSIAL RESEARCH CLUSTER will be not responsible for any kind of financial loss
due to ticket cancellation or any other bookings done by me or my co-authors.
5. I do hereby declare that all the information given by me is true and if at any moment it
OR is found to be wrong, my registration for the event will be cancelled by UNIVERSIAL
 ONLINE PAYMENT (Using Debt/Credit card or Net Banking) RESEARCH CLUSTER and necessary action will be taken against me.
6. UNIVERSIAL RESEARCH CLUSTER is not responsible for any violation of Rules and
(Using online link provided at our website/acceptance letter) Regulations by me or by my Co-authors of this paper at any country during or after the
Date of Transfer(DD/MM/YY) Event.
7. The refund will be done if decided by UNIVERSIAL RESEARCH CLUSTER management
will be done as the same mode as I paid and will take 7 to 60 days from the day of refund
Order ID/Transaction ID: process starts.
8. I clearly understood the procedure for publication, registration and attending the
seminar. I have read all the rules and regulations at http://universal-
Today’s Date: _____DD/______MM/________YYYY. conference.com/rules.php and above Declaration & Undertaking and I agree.

SIGNATURES
Author__________________________ Co-author (1)__________________ (2)__________________(3)_________________
(Author’s Signature is mandatory only) Note: Send a Scanned copy of this filled up form to our official mail ID only
Remarks if any______________________________________________________________________________ * All rights Reserved by UNIVERSIAL RESEARCH CLUSTER