Speaker Registration Form
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SPEAKER REGISTRATION FORM Nam e (A s yo u w ish it to appe ar on con fe ren ce m ate ri als ) ………………………………………………………………………………………………………………………………………… Co rre spond ing Ad dre ss ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… Em ai l . :……………………………HpN o: .………………………………………Fa xNo.: ………………………………… Tit le of Pres enta tion ( very important, if there are any changes) ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… Au di o V isu al N eeds ( Ple as e t ic k)
LCD Projector
BI OG RA PHI CAL INF OR MA TI ON : For the purpose of introduction please provide a sketch of education, professional background , and work experience relevant to the seminar. No more than 50-70 words. Please e-mail your biography information to [email protected] by 30th July 2007.Please prepare your presentation in power point. Sp eci al N eed s : ( Pl eas e ti ck)
If you need special assistance to participate fully in the seminar Vegetarian meal preferred Met ho d of Pay me nt (P le ase t ic k) Banker’s Cheque/Telegrapic Local Cash Cheque Transfer Order Cheque payable to : ISWS2007 ac no. 14-1 62-0 1-0 01023-2 BIM BMYKL (fo r for ei gn del eg at e) an d 14- 162- 01- 001023- 2 BIMB (for Mal aysi a) . The pay in sli p end or sed by the bank will be us ed as evi den ce of payme nt. *Participation depend upon full payment of the registration fees before the seminar date or upon us receiving a guarantee letter that full payment of the registration fees will be made to us by the affiliate organization. Currency exchanges are the responsibility of the registrant and the Seminar Secretariat will accept no liability for money loss through bank charges, transfers or currency fluctuations. Can ce ll at ion Pol ic y: Cancellations will only be processed upon receipt of written notification. will be deducted from the registration fee for cancellation made afte r 30/7/20 07. Re tu rn Thi s F or m wi th P aym en t
50%
FA X TO : 603 6196 4864 EMAIL TO [email protected]
O R
MAI L TO : ISWS 2007 SECRETARIAT KULLIYYAH OF ARCHITECTURE AND ENVIROMENTAL DESIGN INTERNATIONAL ISLAMIC UNIVERSITY OF MALAYSIA P.O.BOX 10, 50728 KUALA LUMPUR MALAYISA
LCD Projector
BI OG RA PHI CAL INF OR MA TI ON : For the purpose of introduction please provide a sketch of education, professional background , and work experience relevant to the seminar. No more than 50-70 words. Please e-mail your biography information to [email protected] by 30th July 2007.Please prepare your presentation in power point. Sp eci al N eed s : ( Pl eas e ti ck)
If you need special assistance to participate fully in the seminar Vegetarian meal preferred Met ho d of Pay me nt (P le ase t ic k) Banker’s Cheque/Telegrapic Local Cash Cheque Transfer Order Cheque payable to : ISWS2007 ac no. 14-1 62-0 1-0 01023-2 BIM BMYKL (fo r for ei gn del eg at e) an d 14- 162- 01- 001023- 2 BIMB (for Mal aysi a) . The pay in sli p end or sed by the bank will be us ed as evi den ce of payme nt. *Participation depend upon full payment of the registration fees before the seminar date or upon us receiving a guarantee letter that full payment of the registration fees will be made to us by the affiliate organization. Currency exchanges are the responsibility of the registrant and the Seminar Secretariat will accept no liability for money loss through bank charges, transfers or currency fluctuations. Can ce ll at ion Pol ic y: Cancellations will only be processed upon receipt of written notification. will be deducted from the registration fee for cancellation made afte r 30/7/20 07. Re tu rn Thi s F or m wi th P aym en t
50%
FA X TO : 603 6196 4864 EMAIL TO [email protected]
O R
MAI L TO : ISWS 2007 SECRETARIAT KULLIYYAH OF ARCHITECTURE AND ENVIROMENTAL DESIGN INTERNATIONAL ISLAMIC UNIVERSITY OF MALAYSIA P.O.BOX 10, 50728 KUALA LUMPUR MALAYISA
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