Registration form of theICMIE 2018

=Listener or Co-author

Lille, France July 4-6, 2018

2018 3rd International Conference on Measurement Instrumentation and Electronics

NOTE:To avoid delays in registration, please read the entire form carefully. You may submit your completed Registration Form (doc)andthePayment Proof of the applicable registration fee toefore or on March 30th.Please submit one form for each participant.

Participant Information

*Compulsory items.

*First Name: / *Family Name:
*Title: (Prof., Assistant Prof., Dr, Mr. Ms. etc.) / Male □ Female □
*Personal Research Fields:
*Will you attend the conference in person?
Yes □ No □
* The participant’s name(If yes):
* Participant’s Affiliation(Organization or University): / One-inch-Photo here
(*please take a photo to the conference if you didn’t put one here)
**Mailing Address(house or college address):
*City: / *State/Province:
*Country: / *ZIP/Post Code:
*Tel.: / *E-mail: / Fax:
Student ID Number:
Special dietary:
Diabetic□ Vegetarian□ Muslim□ Other□(please specify: )
Physical requirements (if any):

Conference Fees (by US Dollar)

Category / Regular Rate / Students / OPSS / IEEE / SPIE Members / Mark Your choice
Listeners / Co-authors / 300 USD / 250 USD
Conference Proceedings / 60 USD / Piece
Cultural Program / 100 USD / Person

Notes:

1) Student rates are given to the students presenters with requirement to show their student card(s).
2) The co-author(s) or any other person who is(are) going to attend the conference is(are) required to register for the conference as listener(s).

Payment Terms

*Click the link below for the payment by credit card.

Please fill in the E-mail and Confirmation Number after paying by credit card.

*Payment E-mail: / *Order Number:

(Please contact for the bank information or other payment method if you are not able to pay by credit card.)

Receipt title for the payment
(The registrant’s name will be taken as receipt title by default if you don’t have special request)

Gentle Reminder:

After the payment, please send all required materials to the conference secretary; who will confirm your registration by sending you confirmation from conference mailbox If no feedbacks received within three work days, please contact us via email or telephone.

Thanks again for your time, please submit your completed Registration Form (doc.) and the Scanned Payment to before May27th, 2018.

For more information, please feel free to visit the conference website:

Make sure that all information filled above is accurate. Looking forward to your participation.

ICMIE 2018 Organizing Committee

Lille, France