All attending conference participants must pay the registration fee and at least one author per paper must registrar. Without registration no paper will be published. The conference fee must be received by November 30, 2014 to assure publication.
ICMIEE 2014 REGISTRATION FORM
Title (Mr./Ms./Mrs./Dr./Prof./Prof. Dr.): ________________________
Name: ___________________________________________________________________________
University/Company: _____________________________________________________________
Address: _________________________________________________________________________
City: ____________________ State/Province: __________________ Zip Code: ______________
Country: ______________________ Telephone/Cell: ____________________________________
Email: _________________________________________________ Fax: ______________________
Paper No: ______________ (Submission no.)
Paper Title: _______________________________________________________________________
__________________________________________________________________________________
Authors: __________________________________________________________________________
__________________________________________________________________________________
Are you the presenter? Yes No
Name of the Presenter (if you are not): _______________________________________________
Number of Accompanying Person: __________________________________________________
REGISTRATION FEES: (please tick on applicable one)
ICMIEE Terms
1) The undersigned represents that he/she has the power and authority to make and execute this assignment.
2) The undersigned agrees to indemnify and hold harmless the ICMIEE from any damage or expense that may arise in the event.
3) In the event the above work is not accepted and published by the ICMIEE or is withdrawn by the author(s) before acceptance by the ICMIEE authority, the foregoing publication shall become null and void and all materials embodying the Work submitted to the ICMIEE will be destroyed.
4) For jointly authored Works, all joint authors should sign, or one of the authors should sign as authorized agent for the others.
5) Because ICMIEE incurs certain expenses prior to the conference, it is necessary to impose the following cancellation policy: For cancellations received on or before November 30, 2014, ICMIEE will refund 50%
of the total registration cost (including any activity fees). No refunds of any kind will be given for cancellation requests received after November 30, 2014.
________________ ____________________________________________
Date Signature ofAuthor/Authorized Agent for Joint Authors
ICMIEE
FACULTY OF MECHANICAL ENGINEERING Khulna University of Engineering & Technology (KUET)+880-41-769469~75(Ext. 405) | [email protected] | www2.kuet.ac.bd/icmiee2014
Foreign Authors/Participants: US$200 SAARC Country Authors/Participants: US$150 Local Authors/Participants: BDT 3500 Local Student: BDT 2000 Foreign Student US$ 100 Accompanying Person*: _________
*Local accompanying person: BDT 2000, Foreign: US$ 75
PAYMENT INFO (pls tick) Cash Cheque Payorder DD Date: _________________
Deposit slip Number:_________
Bank: _______________________