Please use block letters and tick appropriate boxes.
Please find enclose a Cheque / Demand Draft for INR/USD (Payable to "International Conference (MEAI), 2017" towards the fee of participation/Platinum Sponsor/Gold Sponsor/Silver Sponsor/advertisement)(please tick).
A bank transer has been made for INR/USD payable to account name "International Conference (MEAI), 2017" Saving Account No. "18570110027899" at UCO Bank, IBM Branch, Nagpur. The IFSC code of the Bank is "UCBA0001857". Please attach copy of the transfer document along with the registration form.