/ REGISTRATION FORM
International Conference on
Computational Intelligence and Data Science (ICCIDS 2018)
7-8thApril, 2018
The NorthCap University, Gurugram
Name (Prof./Dr.):
Designation & Affiliation:
Male/Female:
MailingAddress:______
______
______
Country:
Telephone No:
E mail ID:
Delegate Category: (a) Author’s: (b) Non Author’s:
Paper ID:
Paper Title:
Delegate Status (Indian/Foreign): If Foreign, Passport Number:
Registration Fees(INR/USD):
Workshop on Big Data and Deep Learning Attending (Complimentary for registered authors): Yes or No
Payment Options: Payment can be made by Demand Draft or wire transfer for which our bank account details are as below:
Beneficiary Name:The NorthCap University
Bank name:Syndicate Bank
Address:Sector 23A, Gurgaon, Haryana, Pin-122 017
Syndicate bank A/C No:82472010014031 IFSC code: SYNB0008247
MICR Code: 110025148
14. / Draft No: Name of Bank:
15. / Payment Reference (if paid by wire transfer/net banking):
Credit Card/ Funds Transfer/ Wire Transfer / Demand Draft /Details / Remitter’s name:
(Sender’s name) / Payment Date:
Bank Details: / DD No. (For Demand Draft) / Transaction ID
(For Others):
Please send the completed application form together with the Demand Draft to the Organizers before the due date. The envelope should be superscripted “ICCIDS2018”. Scanned copy of the signed form, and scanned DD/Cheque may be sent via email. Completed form may be sent to the following addresses.
Place: ______Date: ______
Signature:______
Dr. Vijendra Singh
School of Engineering and Technology
The NorthCap University,
Sector 23 A, Gurugram, India -122001

/ Dr. Rita Chhikara
School of Engineering and Technology
The NorthCap University,
Sector 23 A, Gurugram, India- 122001

Note:

  1. Maximum paper length is of 10 printed pages. However, the authors can extend maximum 1 page with over length page charge, of Rs. 500/- for Indian participant and EURO 5/- for International participant.
  2. It is mandatory to fill the registration form and e-mail the filled and scanned copy of the form to , irrespective of the mode of payment.
  3. In cases of payments through DD/ Wire or Funds Transfer, please e-mail the scanned copy of the bank receipt Swift Copy (Wire transfer advice) or Funds transfer advice to to confirm your registration fees payment.
  4. In cases of payments through Credit Card, please e-mail the scanned copy of the generated registration slip to to confirm your registration fees payment.
  5. It may be ensured that the Remitter’s (Participant/Author) name and the Purpose of remittance (Registration Fees) are clearly mentioned by the Remitter in the Funds Transfer Application.
  6. All bank charges foreign/inland in connection with the registration fee remittance will be to the account of the Remitter. Shortage in the prescribed Fee amount, if any, on account of bank charges/short remittance received or credited to the Institute’s A/c shall be borne by the Remitter.

Additional Instructions for Co-Authors:

In a paper with more than one author, all authors cannot register as "Co-Authors".

One of the authors must pay full registration fee, while others can avail Co-Author discount.

Co-Author registration discount can be availed only after one of the authors has successfully registered with full registration fee.

Co-Authors who wish to avail registration discount have to compulsorily indicate fee payment details of first author.