Escolar Documentos
Profissional Documentos
Cultura Documentos
Participants Information
First Name:
Title:
Last Name:
Prof.
Mrs.
Dr.
Mr.
Other, please specify:
Ms.
Nationality:
Organisation:
Position:
Yes
ILS Member:
No
Address:
City:
Postcode:
Telephone: (M)
Country:
E-mail:
Conference Fee:
REGISTRATION FEE
EARLY BIRD
(Until 31 July 2015)
STANDARD
(From 1 August 2015
onwards)
Amount
USD 300
Speakers
USD 210
Student
USD 220
Malaysian
MYR 800
USD 50
USD 370
USD 300
USD 340
MYR 1000
Grand Total:
Please review your registration details above and ensure the total for your registration fee is correct. If
any details are incorrect please edit accordingly.
Please review the Conference Registrations Cancellation and Refund Policy and acknowledge these
conditions prior to your submission. Upon receipt the complete registration form, an invoice will be
issued for your payment purpose.
By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the
full conference fee. I have taken notice of the cancellation terms on this form.
Date:
Signature: