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    Icrcet Registration Form (2022)

    Uploaded by

    HarisIlmanFiqih

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Icrcet Registration Form (2022)

    Uploaded by

    HarisIlmanFiqih
    19 views1 page

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    19 views1 page

    Icrcet Registration Form (2022)

    Uploaded by

    HarisIlmanFiqih

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    REGISTRATION FORM

    E-mail: info@icrcet.org
    Web: https://icrcet.org/

    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.

    All questions and inquiries concerning registration Please complete this form and email a scanned copy to:
    and payment should be addressed to: info@icrcet.org
    info@icrcet.org

    Event Name 10th International Conference On Recent Challenges In


    Engineering And Technology (ICRCET-22)
    Venue/Place of Event Bali , Indonesia
    Date of Event 22nd& 23rd June 2022

    PLEASE KINDLY FILL IN A SEPARATE REGISTRATION FORM FOR EACH CONFERENCE PARTICIPANT
    Highest
    Full Name
    Qualification
    Affiliation/Designation

    Mailing Address

    City, Zip, Country Passport Number:

    Mobile (With Country Email


    code)

    Paper ID:
    ACCEPTED
    PAPER Title of the paper:
    INFORMATION
    Author’s Name:
    Guided by:
    Co-Author’s Name Mail ID:
    1. 2. 3.
    & Designation Contact No:
    Affiliation:

    PAYMENT INFORMATION

    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 /Passport 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


    (the photo should match your
    1. I have not published this paper anywhere before and I am transferring the Copyright of my paper to Passport)
    ICRCET-2021
    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. ICRCET 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 ICRCET and take necessary action against me.
    5. ICRCET is not responsible for any violation of Rules and Regulations by me or by my Co-authors of this paper at
    any country during the Event.

    Signature (Author): ____________ Date: 


    Remarks: ___________

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