Registration Form

2nd International Computer Sciences and Informatics Conference (ICSIC 2017)

Amman, Jordan 23-24 September 2017, Amman, Jordan

Please fill in the form, and send it with the payment slip by email:

www.icsic.aau.edu.jo

E-mail:

Title (Student/Prof/Dr): _____ First Name: ______Last Name: ______

Paper ID: ____ Paper Title: ______(for authors only)

Institution: ______

Street Address: ______

City: ______State: ______Country: ______Zip: ______

Phone: ______Fax: ______Email: ______
Dietary Requirements: ______Attending conference: Yes / No

Conference Registration Fees
The full registration fee includes: Attendance to all Scientific Sessions, Conference Proceedings, Welcome Breakfast, Morning and Afternoon Refreshment Breaks, Paper Presentation, Certificate of Attendance and/or participation, Conference Materials, Bags etc. , Lunch / for 2 days, Guided trip to one or more touristic sites in Jordan.
Registration Fee structure:

Category / Registration Fee (USD) / Registration Fee (JOD)
Registration - Author (Student) / 70 / 50
Registration - Author (for Authors from inside Jordan) / 140 / 100
Registration - Author (from outside Jordan) / 350 / 245
Additional articles / 50% discount / 50% discount

Notes:
- In order to avail of the student rates, a formal letter from their University is required.
- If the registered participant is unable to attend, the registration may be transferred to another presenter. S/he must inform the Conference Secretariat a month before the conference. No refunds will be issued.

- No Cancellation & Refund policy (no refunds will be returned if the registration is cancelled)

Payment methods When making payment, please indicate the paper ID and title on the payment slip.

1. Bank transfer (two accounts are available):
A- currency (Jordanian Dinar )
1- IBAN Number: JO51 ARAB 1100 0000 0011 0026 0025 00
2- SWIFT Code: ARABJOAX110
3- Beneficiary name: Amman Arab University.
4- bank name: Arab Bank.
5- bank branch: Sweileh branch.
B- currency (USD )
1- IBAN Number: JO72 ARAB 1100 0000 0011 0026 0025 10
2- SWIFT Code: ARABJOAX110
3- Beneficiary name: Amman Arab University.
4- bank name: Arab Bank.
5- bank branch: Sweileh branch.
After transferring the money; kindly send a scan copy of the payment document by email to along with this registration form.
* For bank transfer, please pay your bank transfer fees; we receive the full amount without any deductions. / 2. Credit/Debit Cards (to be announced; the details are not available yet).
Payment can be made online via PayPal. Please follow the link provided on the conference website.
Please email the Conference Secretariat your PayPal payment slip along with the registration form.
*All PayPal transactions will include a 5% PayPal administrative fee.
Western Union \Money Gram \ Express Money
Country: Jordan
Receiver name (University Representative):
Hatem Ratib Shafeeq Hasan.
After transferring the money; kindly send a scan copy of the payment document by email to along with this registration form.
* Please pay any transfer fees from your side; we receive the full amount without any deductions.
Author’s Signature and Date:

1