International Conference on Chemistry and Applications of Soft Materials (CASM 2022)

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Please pay the registration fee before filling the form. The registration fee includes 19% GST/Cess also.

Please note that the bank charges for the transactions are to be borne by the participant.

Either the Bank Transaction ID (online payment) or the Demand Draft Number (offline payment) is required to register through this form. Please fill in the form accurately with all possible details. All fields marked with * are mandatory.

REGISTRATION FEE: Two modes of payment are possible - online and offline. The registration fee, either offline or online, should be paid prior to filling up this form. For online payment, bank transfer is preferred and offline payment can be done through a Demand Draft drawn in favor of "The Director, Chair ICEM-14, CSIR-NIIST" payable at Thiruvananthapuram. Please mention "REGISTRATION – ICEM-14" as the purpose of the bank transaction or the demand draft.

Either the Bank Transaction ID or the Demand Draft Number is required to register through this form.

Bank account details for online payment

Institution Account Name : (NIIST) Regional Research Laboratory
Account No. : 67047723825
Purpose of Transaction : Registration – ICEM-14
IFSC Code : SBIN0070030
SWIFT Code : SBININBBT08
Bank Name : State Bank of India
Branch Code : 70030
Address : Pappanamcode Industrial Estate Branch, Industrial Estate (P O),
Pappanamcode, Thiruvananthapuram, Kerala -695019, INDIA
MICR No. : 695002943

The Demand Draft (if paid offline), in favor of "The Director, Chair ICEM-14, CSIR-NIIST" payable at Thiruvananthapuram, should be sent to the following address by speed or registered post:

Dr. Biswapriya Deb
Convener, ICEM-14 and Principal Scientist
Sir C V Raman Block
CSIR-NIIST, Industrial Estate P O
Pappanamcode
Thiruvananthapuram - 695 019, Kerala, INDIA

In case of any difficulty with registration or payment, the conference secretariat may be contacted at: contact@icem14.org

Name in Full *

Format: First Name Surname

Email ID *

Phone Number *

Mobile/Cell number preferred, Please include country code also.

Department/Division *

University/Institute/Company with Complete Postal Address *

Choice of Presentation *

Participant Category *

Invitation for Visa Required? *

If "Yes", please send the "Data Sheet for Foreign Participants" as an MS Word file by email to contact@icem14.org Please enclose the title pages of your passport (pages with your name, passport number, address, date of birth, photograph, etc.) along with the data sheet. We shall send you an official invitation letter along with the clearance so that you may apply for a visa.

Yes

Required

Amount Paid *

Please note that the bank charges for the transactions are to be borne by the participant.

Transaction Date *

Participants from CSIR-NIIST may choose the date of registration

YYYY

Transaction ID or Demand Draft Number *

Please include the Bank Transaction Reference or ID generated while making the online payment or the number of the demand draft if paid offline. Either of these is mandatory to complete registration. Participants from CSIR-NIIST may indicate "Paid through Office"

Are you planning to join the ECO-HERITAGE TOUR on 8 February, 2020? *

The participation in the tour will be on payment basis. The tour is expected to start after breakfast at 9:30 AM and will be dropped back to your hotel before 05:00 PM. Lunch and evening tea/snacks, transportation and entry tickets are included in the price. Details will be available on the webpage: www.wcem14.org. Interested participants are required to pay the prescribed amount in Indian Rupees at the registration desk.

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