"Third International Conference on Pattern Recognition"
Third International Conference on Pattern Recognition and Machine Intelligence (PreMI'09) 16-20 December, 2009 Twelfth International Conference on Rough Sets, Fuzzy Sets, Data Mining & Granular Computing (RSFDGrC'09) 16-18 December, 2009 Organized by: Indian Institute of Technology Delhi & IUPRAI, in collaboration with Machine Intelligence Unit, Indian Statistical Institute, Kolkata http://web.iitd.ac.in/~premi09/ http://web.iitd.ac.in/~rsfdgrc09/ REGISTRATION FORM For EACH accepted paper to be published in the proceedings, necessarily needs one regular registration (non-student) while submitting the camera-ready copy, to be received latest by 04 October, 2009. Early bird registration is effective only when the completed registration form is received with appropriate payment by 15 October, 2009. Students must include a letter from the Head Of the Department/Dean verifying their full time student status. INR registration value will apply to people normally residing in India and/or affiliated to Indian organisations. USD values will apply to others.. There will be no difference for people from academic organisations, R&D organisations, industry, etc. Registration for the PReMI'09 conference includes the PReMI'09 tutorials. Registration for any of the conferences PReMI'09/RSFDGrC'09 includes registration for the Experience Workshop Payment must be made through Bank Draft (drawn in favour of FITT, IIT DELHI payable at NEW DELHI). Registration Details: (Please tick the appropriate box(es) and fill in all Capital Letters) Prof. Dr. Mr. Ms. Male Female Affiliation: Paper # (if any) : Title: Address: City: Country: ZIP: Tel.: Fax: Email: Passport Details: (For Non-Indian Participants) Passport #: Date of Issue: Place of Issue: Date of Expiry: Citizenship: Date of Birth: AnyOneConference Both (PReMI'09/RSFDGrC'09) Conferences Early Registration Late Early Late Registration Registration Registration Regular INR 6000 7000 10000 12000 USD 250 300 400 500 Student INR 3000 4000 5000 6000 USD 200 250 300 400 Payment Details: DD Number: Dated: / /2009 Issued by: Date: Signature of the Participant Mail this form along with the payment to: For Office Use Only Mr KK Roy Received Date: / /2009 Manager (Tech), FITT IIT Delhi, Hauz Khas, New Delhi – 110 016, INDIA. Registration No: PReMI'09/ Email: email@example.com Tel: +91-11-26851169/26597285 Amount: Rs. /US$ Fax: +91-11-26851169 Receipt No. Date: