22nd INTERNATIONAL CONFERENCE ON VERY LARGE DATA BASES
             September 3-6, 1996,  Taj Mahal Hotel,
                    Mumbai (Bombay), India
 
                      Registration Form
 
Please type or print clearly in large letters.
 
Last Name:.........................  First Name:.........................
Affiliation:.............................................................
Mailing Address: .........................................................
                 .........................................................
                 .........................................................
Tel:...............................  Fax:.................................
E-mail:...................................................................
 
Registration Fees:
 
                         On or before August 15th      After August 15th
Regular registration fee   US$  350   Rs. 9500         US$  390   Rs. 12000
Student registration fee   US$  175   Rs. 4750         US$  175   Rs.  4750
 
Note:  Only participants from India are permitted to
make payment in rupees. Others have to pay in US dollars.
 
Amount enclosed:  US$................. or Rs. ...........................
 
To be allowed to pay the student registration fee, this form must be
signed by the student's advisor:
 
Advisor's name:......................  Advisor's signature: ...............
Advisor's affiliation:.....................................................
 
Payment will be accepted by credit cards or by draft/banker checks
payable to  "Hongkong Bank A/C VLDB'96".
If paying by credit card:
(1) Please add an additional 2 percent processing fee.
(2) Please enclose a photocopy of both sides of your credit cards.
(3) Please sign the following authorisation:
 
I authorise VLDB'96 to charge the registration fees of
US$:......................  Rupees: ........................
to my Credit Card number:...................................
Card Type:  Visa / Mastercard  (circle one)
Exp. Date: (MM/YY):.........................................
issued by (name of bank):...................................
Cardholder's name:..........................................
Signature:..................................................
 
 
Do you need a personalized invitation to help your
visa application: (Yes/No)...................................
 
Please indicate which tutorials you plan to attend:
 
  Tutorial 1 (Yes/No) .............
  Tutorial 2 (Yes/No) .............
  Tutorial 3 (Yes/No) .............
  Tutorial 4 (Yes/No) .............
  Tutorial 5 (Yes/No) .............
  Tutorial 6 (Yes/No) .............
  Tutorial 7 (Yes/No) .............
 
Special offer : ............ Check here (yes/no) if you want to
subscribe to the VLDB journal (starting 1997) and get the last
issue of 1996 (Vol. 5, No. 4) for FREE.  Yearly cost:US$ 48 for
individuals, US$ 192 for institutions.
(Issue 5(4) will be sent to you along with a bill later.)
 
Please mail this registration form (with payment enclosed) to:
 
VLDB Secretariat, Attn:  Prof. D.B. Phatak,
Dept. of Computer Science and Engineering,
I.I.T. Powai, Mumbai 400 076. INDIA
Fax: +91.22 578 3480
email: vldb96@cse.iitb.ernet.in
Web  : http://www.cse.iitb.ernet.in/~vldb96
Web  : http://www.almaden.ibm.com/cs/vldb