INTERNATIONAL CONFERENCE FOR CONVERGENCE OF

TECHNOLOGY-2014
REGISTRATION FORM
1. Kindly fill the Registration form carefully.

2. The last date for submission of registration form in soft copy is 20/03/2014.

3. Kindly carry printout of registration form at the time of Registration.

4. Kindly choose only one from (YES/ NO/NA)

1. Name of Authors
1. Kumbhar Swapnali Vishnu
2. Dhaigude Tanaji Anandrao

2. Paper Number 945

3. Name of Institute and
University
4. Contact Number
5. Whether paper is selected
for oral presentation
Dattakala Group Of Institute’s,FOE,Daund.
University of Pune
7588032592,8552854242
NO

1. Transaction ID:-
5. A. If YES, Payment Details 2. Amount:-
3. Name of Bank:-
4. Date:-
(Please carry payment proof at the time of registration)

7. Name of person going to

present paper
Kumbhar Swapnali Vishnu

8. Whether paper is selected YES

for Journal publication
(YES/ NO) 1. Transaction ID:- IR36558848
2. Amount:-3300
9. A. If YES, Payment Details
3. Name of Bank:- State Bank of India
4. Date:- 24-Feb-2014
(Please carry payment proof at the time of registration)

NO

10. Wish to present your paper

in the conference? (Journal
 Publication Applicable )
9 A. If YES, Payment
Details of Rs 1200/- for Matoshri Complex,
presentation of paper Nageshwarnagar,Malegaon(B.K)
Tal:Baramati, Dist:Pune,Maharashtra,India
Pin:413115
9. B. If NO,
Give your correspondence
address.
11. Any extra attendee wishes NO
to attend the conference?
9. A. If YES, Payment 1. Transaction ID:-
Details of Rs 1200/- for 2. Amount:-
attendee 3. Name of Bank:-
4. Date:-
(Please carry payment proof at the time of registration)

12. Suggestions (if Any)