| Please complete in CAPITALS
one form per person only (forms maybe photocopied)
Fields marked with * are compulsory. |
| Personal Details
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| Title: |
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Mr.
Mrs.
Ms.
Dr.
A/Prof.
Prof.
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| Family Name:*
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First Name:*
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Preferred Name:*
(for name badge) |
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| Position / Job title:* |
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Name of Organisation:*
(for name badge) |
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| Mailing Address:* |
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| Country:* |
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Business Phone:*
(inc. country code) |
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Fax: |
| Email Id:* |
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| Do you have any special dietary or other
requirements? |
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| Paper ID: |
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| Registration Details
|
| Please
note registration fees must be paid in US Dollars
or in Indian Rupees by Draft. You may send a copy
of this form along with a draft to the conference
organiser by mail or send through Fax No. 91-80-25247724/25246356. |
Please
select which conference you will be attending:
e-Science 07
EU-India Grid
Both
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Advance
Registration
Valid till Nov 10 th 2007 |
Onsite
Registration |
| |
USD |
INR |
USD |
INR |
| IEEE Members |
450 |
20250/- |
550 |
24750/- |
| Non Members |
600 |
27000/- |
700 |
31500/- |
| IEEE Student Members |
300 |
13500/- |
400 |
18000/- |
| Student Non Members |
350 |
15750/- |
500 |
22500/- |
PS: Those who register for
e-science2007 conference are eligible to attend
EU-India Grid conference hosted and sponsored by
EU-India
Grid to be held on December 14th 2007
at free of cost. |
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| Modes of Payment
|
| Registration
will only be confirmed on receipt of the full payment.
(Tick the appropiate)
Note: if paying
by draft, please make the draft payable to escience
2007. |
| Payment Method: |
|
Draft |
