International Conference on Direct Digital Manufacturing and Polymers | ICDDMAP 2015

Registrations are closed.

In case you have difficulties in completing the application form please contact us via email: ICDDMAP@gmail.com

Fields marked with * are mandatory

1. Personal Information

Full Name *

(Please insert your full name according to your identification card.)

Address *

Postal/Zip Code *

City *

Phone Number *

TAX Number *

Country *

E-mail address *

(Please insert your email address. The address introduced will be used for future communications)

2. Invoice Information

Please fill in the fields below if you require the invoice in a different name from above-mentioned.

Receipt in

Name

Address

Postal/Zip Code

City

Country

TAX Number

Phone Number

Fax

3. Conference fees (informative table)

	Normal registration fees (before 30^thof September)	Late registration fees (after 1^stof October until 15^thof October)
	Indian delegates
Academic and researchers	RS 4500	RS 5500
Students	RS 3500	RS 4500
Industry	RS 6000	RS 7000
Accompanying person	RS 3500	RS 4500
	International delegates
Academic and researchers	€ 450	€ 500
Students	€ 350	€ 400
Industry	€ 550	€ 600
Accompanying person	€ 350	€ 400

4. Type of Registration

Price

TOTAL: 0.00 €

5. Payment Method

Credit Card

Morada IPLeiria:

Instituto Politécnico de Leiria

Rua General Norton de Matos

Apartado 4133

2411-901 Leiria

Portugal

Política de Privacidade | Política de Reembolso

Note: After you select the credit card payment method and submit the application form, you will receive an email for credit card payment instructions.

Bank Transfer

Payment by Bank Transfer to:
Convener ICDDMAP-2015
Account Number: 34833780321
Branch Code: 580002305
IFSC Code: SBIN0001728
SWIFT Code: SBINNBB264

Bank Name:
Payable at State Bank of India,
Karnatak University Campus,
Dharwad 580 003
Karnataka State, INDIA

For bank transfers, the description of the transfer must comply with the following format: "ICDDMAP+Registration Number".

A copy of the payment/transfer should be sent by e‐mail to the Conference Organizing Committee (ICDDMAP@gmail.com).

6. Submit Registration

I declare that all informations provided on this Application Form are true without any omission to the same. *