DHIRAJLAL GANDHI COLLEGE OF TECHNOLOGY

(Approved by AICTE, NEW DELHI & Affiliated to ANNA UNIVERSITY, CHENNAI)

Opposite Salem Airport | Sikkanampatty | Omalur | Salem-636309.

National Conference on
Engineering Applications for Developing Smart Cities (NCEADS)

DAY 1 REGISTRATION FORM (FORM A)

Paper / Poster Presentation
Candidate Name & Registration
No.

Department

Date of Birth & Year/Section

Research Scholars

Faculty

Industrialists

Category
(Tick Appropriate)

UG

PG

Scientists

Gender

Female

Male

Institution Name & Address

with Pin code
Contact Name
E-mail
Phone Number

Alternate E-mail

Title of the Paper

Paper ID

Registration Type
(Tick Appropriate)
Number of Registered
Authors & Names

Names & Affiliation of Authors

Bank Name &

Branch Name
Amount (Rs.)

Transaction No.
Transaction Date
Hard Copy of Proceedings
(Rs.500 Extra to be Paid along
with Registration)

Early Bird/Normal

Required

Not Required

Signature of the Participant

Note:

Send Scanned copy of Form A, Copy Right, Originality form & Payment Challan to conf_2015@dgct.ac.in
and bring Originals at the time of Conference.
Each Participant/ author must register individually.
Only registered Participant/Author receives Kit, Materials and Certificates.
Students without Valid College ID card will not be permitted.
Judges decision will be final and binding for all the events.