Registration Form

All queries and inquiries regarding registration & payment mail us to: info@iiarp.org
Please complete this form and E-mail a scanned copy to: info.iiarp@gmail.com

Conference Name:______________________________________________________________ Photo Here

Place of Conference:____________________________________________________________ (the photo should match your
passport)
Mandatory
Conference Date:________________________________________________________________

Please kindly fill in a Separate registration form for each conference participant
Author’s Full Name (Prof./Dr./Mr./Mrs.):______________________________________
Highest Qualification: ____________________________________________________________
Affiliation/Designation: __________________________________________________________
Mobile Number: __________________________________________________________________
WhatsApp/Line/WeChat (any other):__________________________________________
Nationality: ______________________________________________Age:____________________
Passport Number: ________________________________________________________________
Mailing/Postal Address: _________________________________________________________
_____________________________________________________________________________________

Accepted Paper Information:

Paper ID:______________________________________________________________________________________________
Title of the Abstract/Paper:_________________________________________________________________________
Co-Author’s Name: __________________________________________________________________________________

Payment Details:
Total Amount (USD):____________________________________ Bank Name:______________________________
Remitter: _________________________________________________ Date: _____________________________________
Ref.No._________________________________ Order ID/Transaction ID: _________________________________

NOTE: It is mandatory to attach the scan copy of your Identity Proof/Passport your Transaction Details/
Payment Proof along with the Registration Form

Declaration & Undertaking:

 I have not published this paper anywhere before and I am transferring the Copyright of my paper to IIARP.
 I will not cause or involve in any sort of violence or disturbance within and Outside of the Conference/Event
Venue or during the travel to the venue at any Country during my Visa Period.
 IIARP has all rights reserved to shift the venue, rescheduling the date of the Event.
 I do here by declare that all the information given by me is true and if at any moment it is found to be wrong my
registration for event will be cancelled by IIARP and take necessary action against me.
 IIARP is not responsible for any violation of Rules and Regulations by me or by my Co-authors of this paper at
any country during the Event.
 IIARP is not responsible for my accommodation and travelling allowances at any country during the event.

Signature Author’s:______________________________________ Date:_______________________