<p> Twelfth AIMS International Conference on Management (AIMS-12) IIM Kozhikode January 2-5, 2015 International Registration Form for In-Absentia Papers (A separate registration form is needed for each paper in case you have multiple papers)</p><p>NAME: Prof./Dr./Mr./Mrs./Ms. ______(Last Name) (First Name)</p><p>If you need a certificate for presentation in-absentia, please write exactly how you would like us to print your name:</p><p>______(Use CAPITAL Letters)</p><p>Abstract Reference Number of the Paper: ______</p><p>ORGANIZATION/UNIVERSITY: ______</p><p>POSTAL ADDRESS:______</p><p>______</p><p>______</p><p>PHONE:______Mobile: ______</p><p>E-mail: ______</p><p>Alternate E-mail: ______REGISTRATION FEE SCHEDULE: Regular Registration (received after October 31, 2014) $150 Presentation Fee (optional) $50 (A scholar will present your paper at the conference if you choose this option. The PPT slides of your paper will needed to be sent by November 30, 2014)</p><p>TOTAL AMOUNT ENCLOSED $ ______</p><p>Check/Money Order Number:______</p><p>Credit Card: [ ] Master Card [ ] Visa</p><p>Credit Card Number:______Expiration Date: ______</p><p>Signature: ______Date: ______</p><p>The completed in-absentia registration form along with check/money order (payable to AIMS International) should be sent to: AIMS International, 12436 FM 1960 W. Pmb #140, Houston, TX 77065, USA. If credit card mode is used, you may send your registration as an e-mail attachment. If you wish to send registration fee by wire, please send us an e-mail to [email protected] so that we can send you bank related instructions. Thanks. ______1. Abstracts of papers will be printed in the program bulletin and the author who registers in absentia will be sent the conference program bulletin and CD by February 28, 2015. 2. If co-authors require a certificate of in-absentia presentation, they need to send in registration separately. 3. If an author has two or more papers for in-absentia presentation, the above fee is applicable for each paper separately, and a separate reg. form and payment need to be sent.</p><p>Conference Website: www.aims-international.org/aims12 E-mail: [email protected]</p>