Conference Registration
Mana Island Resort & Spa
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Author Details
Conference Title
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APWCE
APWConCSE
IDCS
Citizenship Status
*
International
Local
Paper Title
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Title
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Mr
Ms
Mrs
Miss
Dr
Professor
First Name
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Last Name
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Organisation
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Position
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Address
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Suburb/Town
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State
Country
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Postcode
Work Phone
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Mobile Phone
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Email
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Role at Conference
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Author
Delegate
Speaker
Paper Registration Detail
Registration Type
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Paper Author - US$700 (EARLY BIRD RATE TILL 30/10/2017)
Paper Author from South Pacific region - FJD$700 (EARLY BIRD RATE TILL 30/10/2017)
Non Author Single Day - US$400
IEEE member discount (Provide IEEE Membership number below) - 10% on First paper
Student Author (Student ID must needs to return with this form) - 15% discount on the above registration rates
Workshop one-day registration - FJD$250
Note
Please kindly note the early bird discount is only till 31th October. However registration will be open till November 15th. Extra $100 will be charged after 31th October.
IEEE Membership Number
Please enter your IEEE Membership Number to receive discount
Student ID
Please Attach Student ID if you are a student
Final Paper Registration Amount
*
Social Function
Additional Events
One pair of ticket is covered per registration. However if you need more a partner or friend please purchase.
Welcome Reception Ticket - US$30
Conference Dinner Ticket - US$70
Total Registration Fee (Paper Registration + Social Events)
*
Special Requirements
Please fill in if you have any special Requirement
Such as Veg Food, Wheel-Chair Access and etc
Payment
Payment Option
*
Cheque
Bank Transfer
Credit Card
Cheque & Bank Transfer Detail
For Cheque and Bank Transfer payment detail please contact Jashnil Kumar on
[email protected]
Attach Bank Transfer Document
Credit Card
*
Visa
Mastercard
Diners
American Express
Not Applicable
Card Holder Name
Card Number
CCV
Card Expiry Date
Card Holder Signature
Information
Terms and Condition
REGISTRATION CONDITIONS Registration: Transfer of registration: transfer of your registration to another person is acceptable. The full name and details of the person that will replace you must be advised in writing to the conference authority prior to the conference. Non-attendance: No refunds will be made for non-attendance at the conference. NOTES 1. To qualify for early bird registration, registration fees must be received by 30thOctober 2017. Registration fees are based on date of payment receipt, not the date of receipt of registration form. 2. A bank fee of 4.5% of total amount will be deduct for each transaction. Accommodation Conditions: Booking: credit card details are required to secure an accommodation booking. Upon check in at the hotel, delegates must settle their accommodation account. Payment: If you have booking problem, please forward the credit card details to the conference authority we have booked on your behalf. Refund/Cancellation: Cancellations must be made and received by email. Cancellations or shortened stays received within 30 days prior to check-in will be charged 2 nights accommodation. No refunds will be applicable for “no shows”.
Privacy statement
APWC on CSE/APWCE 2017/IDCS 2017 Conference authority is bound and committed to maintain the individual privacy. Use of personal information The conference organiser will collect and store information you provide in this registration form for the purposes of enabling us to: • register your attendance at the conference; • assist with administrative and planning purposes; • plan and develop conferences and other events in the future; • facilitate your requirements in relation to the conference; and • allow the compilation and analysis of statistics relevant to the conference. The information that you provide in the registration form and information provided at any other time during the conference, including without limitation any feedback obtained during the conference, will be used by the conference organiser to offer, provide and continue to improve its conferences and other services. Conference delegate list The conference will produce a delegate list of all delegates for supply to all registered attendees and exhibitors at the conference. The delegates list will contain delegate’s name, affiliation and location (state or country) only. Registrants may withhold consent for inclusion of their details in this publication by contacting the conference office by 20thNovember 2017. Disclosure of personal information to third parties The conference organiser may disclose some of the information that is collected in the registration form such as your name, organisation and its location and your email address to conference sponsors and exhibitors for future conference purposes. The conference will not otherwise, without your consent, use or disclose your personal information for any purpose unless it would reasonably be expected that such purpose is related to the offer, provision and improvement of the conference or where such purpose is permitted or required by law. Registrants may withhold consent for disclosure of their contact details to sponsors by contacting the conference authority by 20thNovember 2017.
Declaration
*
I have read and understood the terms & conditions and all the information provided are correct
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