Please complete in CAPITAL letters only
Category:
Indian Delegates :
OTSI Membership No.
Non-Member
Associate / Accompanying Indian Delegates
Foreign Delegates
Associate / Accompanying Foreign Delegates
SAARC Delegates
Resident (INDIAN)*
Resident (FOREIGN)*
*Certificate from Head of the Department is mandatory for Residents.
Title
Prof.
Dr.
Dr (Mrs.)
Mr.
Mrs.
Ms.
First Name
*
Last Name
Age
Gender
Male
Female
Institution / Organization
Designation
Address
City
Postal Code
State
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Icel And
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Dem People'S Republic
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People'S Dem Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Ant Illes
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint K Itts And Nevis
Saint Lucia
Saint Vincent, The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia , S Sandwich Is.
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard, Jan Mayen Islands
Sw Aziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Is.
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Tel.No.(Resi.)
Country Code
City Code
Tel.No. (Clinic)
Country Code
City Code
Fax
Country Code
City Code
Mobile Number
*
Email
*
*
Indicates mandatory fields
Food Preference
Vegetarian
Non-Vegetarian
Accompanying Persons
1
Name
Age
Gender
Male
Female
2
Name
Age
Gender
Male
Female
3
Name
Age
Gender
Male
Female
4
Name
Age
Gender
Male
Female
Payment Details
Select Currency :
INR
USD
Conference Registration for Indian & SAARC Delegates:
Category
Before
31st July 2012 early bird
1st August 2012
to
30th Sept. 2012
After
1st Oct. 2012
till Spot
OTSI Member
INR 2000
INR 2500
INR 3000
Non-Member
INR 2500
INR 3000
INR 3500
Associate / Accompanying Person
INR 1500
INR 2000
INR 2500
Resident
INR 1500
INR 1500
INR 2000
Conference Registration for Foreign Delegates:
Category
Before
31st July 2012
early bird
1st August 2012
to
30th Sept. 2012
After
1st Oct. 2012
till Spot
Delegate
USD 250
USD 300
USD 350
Associate / Accompanying Person
USD 200
USD 250
USD 300
Resident
USD 200
USD 250
USD 300
Payment Details
Registration Amount
Accompanying Person
1
2
3
4
Pre-conference Jaipur Tour
(5th Oct., 2012)
Adults
0
1
2
3
4
Children
0
1
2
3
4
Other (Please Mention)
Total :
Mode of Payment
Online
Cheque / Draft
Wire Transfer
Cheque / Draft No.
Drawn on
Bank Name
Branch Address
Dated
Registration will be done only after receiving the Cheque / DD.
Transaction No.
Date
Account Holder Name
Bank Account Details:
Bank Name
:
Oriental Bank of Commerce
Branch Name
:
Adarsh Nagar, Jaipur
Account Title
:
ISOTCON2012
Account No.
:
06722191007500
IFSC Code
:
ORBC0100672
Swift Code
:
ORBCINBBJPR
For DD/Cheque
:
"ISOTCON2012" payable at Jaipur
Registration Instructions
Registration fee includes access to Scientific Programs, Trade Exhibition, conference kit, lunches, inaugural function and complimentary banquet for 6th Oct, 2012 evening.
Children over 5 years will be treated as Accompanying Person.
Resident should submit a certificate regarding bonafide status of the student from the HOD of the respective college / institute.
Spot Registration by Cash / Credit Card only. No cheque / DD will be accepted.
Conference kit for spot registration not guaranteed.
Cancellation Policy
Delegates who want to cancel their registration must notify the Secretariat in writing.
25% deduction for cancellations before 31st August, 2012.
50% deduction for cancellations before 15th September, 2012.
No refund for cancellations received after 15th September, 2012.
Refund will be made after the Conference.
Venue
About ISOT
OTSI
Organizing Committee
Executive Committee OTSI
General Information
Abstract Submission
Scientific Program
Programs
Downloads
Passport & Visa
Tours