1st International Conference on Information Syatem Security 
                             (ICISS 2005)
                         19-21 December, 2005
                      Jadavpur University, Kolkata

                   REGISTRATION FORM (for authors)
                   -------------------------------

1. NAME (in Capitals): Prof./Dr./Mr./Ms. 

2. AFFILIATION:

3. MAILING ADDRESS:


4. Phone/Fax/E-mail:

5. PAPER ID(s):
   PAPER TITLE:



6. REGISTRATION FEE (*):
   

   TOTAL               :

   MODE OF PAYMENT:  Bank Draft 
   (in favour of "ICISS-2005" payable at Kolkata, India)
        

   Bank DRAFT NO.:
   DRAWN ON (BANK & BRANCH):


7. FOOD PREFERENCE: Vegetarian/Non-Vegetarian


8. Accommodation Arrangement Required (Y/N):




                     -----------------------------
                              (Signature)
Place:
Date:

---------------------------------------------------------------------------

* See http://www.cdcju.org.in/iciss2005/registration.html

In case of any query related to registration and payment please contact:


Dr.Avijit Kar
Organising Chair, ICISS-2005
Centre for Distributed Computing, 
Department of Computer Science & Engg.,
Jadavpur Universityr - 700032, INDIA
Phone: (91)-33-24133599
Phone & Fax: (91)-33-24146209
Email: iciss2005@cdcju.org.in & iciss2005@gmail.com