CONFERENCE REGISTRATION FORM

DATE of Event (DD/MM/YY): ____/_____/____ PLACE OF EVENT________________________________ NAME OF EVENT______________________________________________________

REGD. ID/PAPER ID. Instructions:

1. All fields must be

PAPER TITLE
Paste your photo here
filled in English with
(NOT APPLICABLE FOR LISTNER (Mandatory)
REGISTRATION) CAPITAL letters only.
(Photo must match your passport or Govt.
2. All fields are Issued ID card )
NAME MANDATORY to be
Highest Qualification Age filled

Affiliation/Designation ADDITIONAL INFORMATION (Mandatory to fill all)

 Will you be present physically at the
event__________________________________________________(Y/N).

ARSSS
Nationality Passport
 No. of persons attending the event with you?(Including
Number
your Co-authors)_____________________________________________.
Mailing Address or  Will your Guide/HOD/Principal be attending the
Postal Address Event?__________________________________________________(Y/N).
(with country and PIN Code)  Total years of experience (if any, in the field of
Academics or Industry)_____________________________________.
Mobile Number  Tell us how you came to know about this conference or
(With Country code)
Or Whatapp Number event__________________________________________________________.
Email ID  Are you informed about all rules and regulations of
ARSSS for attending the conference and publishing the
1. paper __________________________________________________(Y/N).
Co Author Details  This paper was guided by (Guide’s Information).
2.
Name__________________________________________________________

3. Affiliation______________________________________________________

Email__________________________________________________________
REGISTRATION DETAILS Contact Number______________________________________________

Amount Transferred In USD / INR

Declaration & Undertaking
 OFFLINE PAYMENT
1. I have not published this paper anywhere before and I am transferring
(Using NEFT/Cash deposit to our bank account/online third party the Copyright of my paper to ARSSS
transfer)
Date of transfer(DD/MM/YY) 2. I will not cause or be involved in any sort of violence or disturbance,
within or outside of the Conference/Event Venue and during my travel to
Your Bank Name & Address the venue in any Country during my Visa Period.

Transaction ID 3. ARSSS has all rights reserved to shift the venue, rescheduling the date
and timing of the Event at any time.
OR
4. I do hereby declare that all the information given by me is true and if
 ONLINE PAYMENT (Using Debt/Credit card or Net Banking) at any moment it is found to be wrong, my registration for the event will
(Using online link provided at our website/acceptance letter) be cancelled by WRFER and necessary action will be taken against me.
Date of Transfer(DD/MM/YY)
5. I have read all the rules and regulations at http://arsss.org/rules and
I agree.
Order ID/Transaction ID:
6. ARSSS is not responsible for any violation of Rules and Regulations by
Today’s Date: _____DD/______MM/________YYYY. me or by my Co-authors of this paper at any country during the Event.

SIGNATURES
Author__________________________ Co-author (1)__________________ (2)__________________(3)_________________