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  • You are welcome to attend the 5th. ICONSWM 2015 at the Indian Institute of Science, Bengaluru, November 25-27, 2015 by CiSTUP, KSCST, IISc, CQMS, JU & ISWMAW.
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IconSWM 2015 Registration Form

Personal Title *
(Dr., Prof, Mr., Mrs., Ms., Engr., etc )
:
 
First / Personal & second Name(s) * :
 
Surname/Family Name(s) * :
 
Position
(Professor, Associate / Assistance, Student, Director , Deputy Director, Commissioner , Chairman / President , Environment Engineer , Councilor, Managers etc.)
:
 
Organization/University/Company/ Municipality/ Ulb Name * :
 
Postal Address 1st Line :
 
Postal Address 2nd Line :
 
Postal Address 3rd Line :
 
City :
 
State/Province :
 
Postal Code :
 
Country * :
 
Email Address * :
     

For Indian, kindly refer to the INR value

For delegates from foreign countries, kindly refer to the USD value

Registration Fee *    
Delegate from Industry, Service Sector / Delegate from State and Central Govt. Dept / PSU : INR 10000
Delegate from ULBs / Municipality / City Council / Municipal Corporation / Panchayat : INR 7000
Delegate from Educational Institute / R&D organization / NGO : INR 6000
Regular Paid Research Scholars / UG & PG Student : INR 3000
 
Please check any of the following optional items you wish to purchase:
 
Proceedings additional
(One Conference Proceedings CD is included with the Registration Fee)
: Printed Proceedings:INR 1500
Additional CD: INR 250
 
To attend the Post-Conference Tour of Bengaluru & SWM facility on 28th Nov. 2015 please check the number of people below : One person: INR 500
Two people: INR 1000
Three people: INR 1250
Six People: INR 2500
 
To attend the Training Workshop each on 24th Nov. 2015 : INR 1250
INR 750 for participants from developing countries
 
Please sum and indicate the total amount of your purchases :
     
Please indicate your preferred method of payment, an invoice will be emailed to you shortly * : Bank Draft in favour of : "ISWMAW" to be send to the Icon SWM Secretariat address at Kolkata or Bengaluru, India( Full Address is Available In The Brochure)

Credit Card (Visa or Mastercard)

Bank Transfer (A/c Name: “ISWMAW” , A/c No. : 0980101026506; Bank : Canara Bank, Jadavpur, S.C Mullick Road, Kolkata 700032, IFSC CODE : CNRB0000980 ; SWIFT Code : CNRBINBBCFD)
     
If you have any additional comments, food requests or other special requests, please list them here :
     
   
 
For Online Payment, please use below company service.
Click here to Registration via eRegNow.com Pvt. Ltd.

For any problem in online regitration , please contact Registration Coordinator :
Ms. Ritu Jain : 0091 22 40223751

 
Download Document (Download Section)
 
 
Submission Form (upload section)
 
 
Exhibition
 
 
Accomodation & Travel
Indian Institute of Science of Bangalore
Bagmane Tech Park
A software Technological Park in India
 
 
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