CESTMRI conference

CESTMRI conference Registration Form

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

PLEASE KINDLY FILL IN A SEPARATE REGISTRATION FORM FOR EACH CONFERENCE PARTICIPANT

Full Name

Mobile (with country code)

Email

State/City

Country

Affiliation/Designation

Highest Qualification

Paper ID

Payment Information

Total Amount(USD)

Bank Name

Remitter

Date

Ref No.

Note: It is mandatory to provide a scan copy of ID Proof /Passport along with this Registration form

Additional Information

Will you be presenting physically at the event?
Yes
No

No. of Persons attending the event with you?(Including your Co-authors)
2
4

Declaration & Undertaking
1. I have not published this paper anywhere before and I am transferring the Copyright of my paper to EPJSTEM
2. I will not cause or involve in any sort of violence or disturbance within and Outside of the Conference/Event Venue or during the travel to the venue at any Country during my Visa Period.
3. 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 without refund of all payments made.

Signature(Author):

Date:

Remarks