Registration Form

Kindly register for the two-day “International Conference on Health, Safety and Environment (HSE‑2026)” to be held at IFSE, Haldia, during 29–30 December 2026.

First Name *

Middle Name

Last Name *

Designation *

Organization *

Street Address *

City *

State/Province *

Zip / Postal Code *

Country *

Phone *

Email Address *

Accommodation *

No. of Days Required for Accommodation *

Registration Fee *

Total Amount Total amount

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Date *

A copy of this form, your payment screenshot and a PDF receipt will be e-mailed to you automatically once you submit. See Payment Methods for bank details.