2nd National Conference
on
“Advancements in Computer and
Information Technology”
(5th & 6th February 2016)
REGISTRATION FORM
Name: _______________________________________________________________________
Designation: __________________________________________________________________
Institute/Organization:_________________________________________________________
Title of the Paper: ____________________________________________________________
_____________________________________________________________________________
Paper ID: ____________________________________________________________________
Address for Correspondence: ___________________________________________________
_____________________________________________________________________________
Phone: ________________________________ Mobile No. ____________________________
Email: _____________________________ Paid Accommodation Required: Yes / No
UG/PG Students
Participant Category
(Select One)
Research Scholars / Industry Executive /Faculty
Attendee
Note:
1. Payment can be done online or direct bank deposit
2. The conference fee includes attendance to all sessions, refreshments, lunches and conference
proceedings.
3. Registration can only be confirmed upon receipt of payment or proof of payment.
4. For direct bank deposit email the scanned copy of generated challan as proof of payment along with
registration form.
5. Registration fee is non-refundable.
Bank Details:
Account Name
Account No:
IFSC Code
Bank & Branch
"Computer Engineering Student Association. Dr. D. Y. Patil
College of Engineering, Ambi, Talegaon".
0677104000118231
IBKL0000677
IDBI Talegaon,Pune
For online payment please mention:
Participants Name
Transaction ID and Date
Participants Bank & Branch
Participants Account No.
Amount Transferred (in rupees)
Signature of Applicant