Registration

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REGISTRATION FORM

Name of Delegate
:
Gender
:
Designation
:
Name of Institute / Organization
:
Address
:
Email
:
Phone
:
Mobile
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Whether Presenting a Paper
:
Paper Title
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Registration Category
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Mode of Payment
:
   

DD if any should be made in favour of "Registrar, IIT Roorkee"  payable at State Bank of India, IIT Roorkee Branch, Roorkee, and sent to Treasurer, CVIP-2016, at the following address:

Dr. Balasubramanian Raman
Associate Professor
Department of Computer Science and Engineering
Indian Institute of Technology Roorkee
Roorkee 247 667
INDIA

 

Electronic transfer details are as follows:

From Overseas: 

NAME OF THE BANK PUNJAB NATIONAL BANK
BRANCH OFFICE INDIAN INSTITUTE OF TECHNOLOGY Roorkee, ROORKEE-247667
SWIFT Code:                    
PUNBINBBISB
ACCOUNT NAME FOREIGN CONTRIBUTION, IIT ROORKEE
ACCOUNT NO 4044000100040407
BRANCH CODE 4044

 

From India:

NAME OF THE BANK State Bank of India
BRANCH OFFICE IIT Roorkee, Roorkee-247667
IFSC Code SBIN0001069
ACCOUNT NAME Conference, Seminar & Symposium, IIT Roorkee
ACCOUNT NO 33136732957
BRANCH CODE 1069
Important: 
1.
Code no. "CONFR-12-CSE" has to be mentioned by the delegates at the time of filling form for online electronic transfer in their respective banks."


2. Proof (scan copy) of DD/online transfer should be mailed to cvip2016@iitr.ac.in
 

Details of Payment

Amount
:
Online Transaction ID / DD Number
:
Date
:

(Date Format DD/MM/YYYY)
Bank Name
:
Place
:
IFSC/SWIFT Code
:

 

Contacts:
CVIP2016 [at] iitr.ac.in