Visa Info Submission Form

Dear participant,

In order to speed up sending an invitation letter, please carefully complete the following form. We will send an invitation letter to you by fax which can be presented to the consulate while applying for a visa.
Please check with the consulate before filling up the form and include any necessary text needed by the consulate in the comments field.

Thank You,
HiPC Organizing Committee

 

Salutation (Prof./Dr./Mr./Mrs/Ms):


Full Name (required):


Affiliation (required):


Address Line 1(required):


Address Line 2:


City(required):


State (required):


Country (required):


Postal Code (required):


Participant Type (Please select one and fill in the corresponding field)(required):

  • Author of Paper  


  • Volunteer  

  • Keynote Speaker

  • Conference Participant
IEEE Membership Number, if member :


ACM Membership Number, if member :


Email (required):


Tel. no. (required):


Fax (The invitation letter will be faxed to this number) (required):


Passport Number(required):


Last 4 digits of credit-card or cheque used for conference registration(required):


Comments: