REGISTRATION FORM - (FSTM)
REGISTRATION FORM Title : (Prof/Assoc Prof/Dr/Sir/Mr/Ms) Full Name : Organization : Address : Postcode : City: State: Telephone : Mobile: Fax: E-mail : Paper No : Category : Local Student Conference as : Paper Presenter Attend Conference: Alternate E-mail: Paper Title: : Attend Local Participant International Student Participant Only International Participant Session Chair: Interested Not Interested Not Attend Name to be printed on IC-ITS 2015 certificate: Fees: Please thick/remark the check box for your chosen package.Early bird for this conference is 30th April 2015 NORMAL FEES NORMAL FEES PACKAGE ADDITIONAL PAPER (after early bird) (early bird) NORMAL RATE STUDENT RATE (Please email your student ID) PARTICIPANT/LISTENER USD 200 (MYR 650) USD 175 (MYR 550) USD 175 (MYR 550) USD 175 (MYR 550) USD 150 (MYR 450) USD 150 (MYR 450) * Conference Fee comes with 1 lunch and 2 coffee breaks for days 2 days (no hotel room provided with the fee) * All transaction in MYR base on ~ 3.5 exchange rates with service charges * Additional paper is chargeable at USD75 per paper – Please visit the website for the online payment link * For student package, please email your Student ID for verification purpose Faculty of Information Science and Technology Selangor International Islamic University College, Bangi, 43000 Kajang, Selangor, Malaysia. WhatsApp: +6012-3323410 Conferences E-mail: [email protected] web: http://fstm.kuis.edu.my/icits/ USD 75 (MYR 250) USD 75 (MYR 250) NIL Payment Method: Payment Option #1 (via Telegraphic Transfer or Direct Deposit) Made payable to: Account number : 12-0290-1007-0696 Account name : FAKULTI SAINS DAN TEKNOLOGI MAKLUMAT KUIS Bank: BANK ISLAM (M) BERHAD Bank Address: BANK ISLAM (M) BERHAD, CAWANGAN BANDAR BARU BANGI, SELANGOR Swift code: BIMBMYKL – Bank Islam Malaysia Berhad Payment Option #2 (via Banker’s Cheque or Bank Draft) Made payable to: Account number : 12-0290-1007-0696 Account name : FAKULTI SAINS DAN TEKNOLOGI MAKLUMAT KUIS Bank: BANK ISLAM (M) BERHAD Bank Address: BANK ISLAM (M) BERHAD, CAWANGAN BANDAR BARU BANGI, SELANGOR Swift code: BIMBMYKL – Bank Islam Malaysia Berhad Please mail the transaction slip or bank slip after the payment has been made to: mail: [email protected] Please mail the registration form to: mail: [email protected] Cancellation Policy Substitution is allowed for registered participants. Please note that payment must be made prior or before to the early bird due date to qualify for discount. Cancellation policy will be imposed if cancellation is made by: 1. Cancellation before 6 weeks of the event 100% 2. Cancellation less than 5 weeks of the event 50% 3. Cancellation less than 2 weeks of the event – sorry, no refund Registration Fee Detail Registration fee must be paid in advance of the event. Walk-in delegates, with payments will be admitted on space availability basis. ACCOUNT INFORMATION DETAIL Account number : 12-0290-1007-0696 Account name : FAKULTI SAINS DAN TEKNOLOGI MAKLUMAT KUIS Bank: BANK ISLAM (M) BERHAD Bank Address: BANK ISLAM (M) BERHAD, CAWANGAN BANDAR BARU BANGI, SELANGOR Swift code: BIMBMYKL – Bank Islam Malaysia Berhad Faculty of Information Science and Technology Selangor International Islamic University College, Bangi, 43000 Kajang, Selangor, Malaysia. WhatsApp: +6012-3323410 Conferences E-mail: [email protected] web: http://fstm.kuis.edu.my/icits/
© Copyright 2024