Conference on Topological Phases and Topological Quantum Computation

13-16December 2017, The University of Hong Kong

Registration Form
(Registration Deadline: 8 Nov 2017)

Personal Information

Surname: / Given name:
Title: / Prof.  Dr.  Mr.  Ms. / Gender:
(For room allocation if applicable ) / M F
Institution / Affiliation:
Email:
Email of your secretary (Optional):
Address(Formailing of invitation letter):

Presentation

Form: /  Invited Talk  Poster  Attend only
Title of Presentation:
Abstract:
Other co-authors and their affiliations (if any):

Hotel Reservation

* Please note that you are expected to pay the room fee and all expenses by yourselves.Credit Card information is required to confirm the hotel reservation. First night of room charge would be held to secure the reservation. The charge would be released upon check in.

*Please refer to the email from the Conference Secretary for the cancellation policy.

Hotel: /  / Courtyard by Marriott Hong Kong
 / Grand City Hotel
 / Island Pacific Hotel Hong Kong
Check-in Date: / Check-out Date:
Occupancy: /  Single Double / Breakfast per morning: / No One Two
Special Requirement:
(Subject to hotel’s availability)
Name
(as on the credit card):
Credit Card Type:
(Union Pay is not accepted) /  VISA  Master American Express JCB
**AE and JCB cards are not accepted by Grand City Hotel
Credit Card number:
Expiry Date:

Meal Servings

Four Lunches and a banquet*will be provided by the conference. To facilitate our preparation, please indicate the meals you are going to join:

13Dec 2017 (WED) / 14Dec 2017 (THU) / 15Dec 2017 (FRI) / 16Dec 2017 (SAT)
Lunch /  Yes  No / Yes  No /  Yes  No /  Yes  No
Banquet* /  Yes  No
*for invited
speakers only

Special Requirements (such as vegetarian, will bring guest to the banquet etc., any information that you would like us to know):