REGISTRATION FORM
e-mail : team@sciencecite.com
web: http://sciencecite.com/
Payment of a registration fee covers the cost to attend all conference activities, coffee breaks, conference reception and banquet, and all lunches
during the conference. In addition, each registrant will receive a copy of the conference proceedings with ISBN. Notice that this registration fee does
not cover transportation fee, accommodation fee, and after conference tour fee.
Please complete this form and email a scanned copy to:
team@sciencecite.com
Event Name
Venue/Place of Event
Date of Event
PLEASE KINDLY FILL IN A SEPARATE REGISTRATION FORM FOR EACH CONFERENCE PARTICIPANT
Qualificatio
Name:
n
Affiliation
Mailing Address
City, Zip, Country
Mobile Email
Delegate’s Info Reg. ID:
Total number of
No of Conf. attend
publication(If any)
PAYMENT Details
Total Amount (USD) Bank Name Remitter Date Ref. No
For online transfer Order ID/Traction ID:
(Debt card/Credit card/Online Banking)
Note: It is mandatory to provide a scan copy of ID Proof along with this Registration form
ADDITIONAL INFORMATION
Will you present physically at the event____________________________(Y/N).
No. of Persons attending the event with you? (Including your Co-authors)______.
Will your Guide/HOD/Principal attending will attend the Event? _________(Y/N).
Declaration & Undertaking Photo Here
1. I have not published this paper anywhere before.
2. I will not cause or involve in any sort of violence or disturbance within and Outside of the Conference/Event
Venue.
3. SCIENCE CITE has all rights reserved to shift the venue, rescheduling the date of the Event.
4. I do here by declare that all the information given by me is true and if at any moment it is found to be wrong
my registration for event will be cancelled by SCIENCE CITE and take necessary action against me.
5. I am transferring the Copyright of my paper to SCIENCE CITE.
Signature:-____________ Date:-
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