REGISTRATION FORM FOR DELEGATES
Please PRINT or TYPE in block letters and email to , or mail to:
Meng-Hiot Lim
Organizing Chair of ELM2016
Block S1, School of Electrical and Electronic Engineering
Nanyang Technological University
Singapore 639798
Tel: (+65)67905408 Fax: (+65)67933398
Please tick (ü) in boxes (r) where applicable.
A. Personal details
Title: Given name: Family name:
Organization:
Job title:
Postal address:
Postal code: Country:
Telephone number: Fax Number:
Email:
Preferred name on badge:
Please tell us of any other special requirements:
B. Registered Paper (Please note that one registration will be made only for one paper although one bank transaction can be made for multi registrations)
Paper ID:
Paper Title:
C. Events
Please indicate if you plan to attend the following events.
Event / Feer / Monday 12 December – Welcome reception / Included in registration fee
r / Wednesday 14 December – Conference Banquet / Included in registration fee
r / Social Events / Included in registration fee
D. Delegates list
I agree to my name, organization and email address being on the delegates list which will be given to all delegates.
E. Payment details
Payment of fees must accompany all registration forms. Your registration WILL NOT be confirmed until payment is received in full. Payment must be made in Singapore dollars (SGD).
Registration fee, please tick one of these three options
Early Bird rate, payment must be received by 30 September 2016.
r Full registration for one accepted paper SGD$980.00
r Registration without paper (participants from academia/research institutions, attending all events) SGD$490.00
r Registration without paper (participants NOT from academia/research institutions) SGD$1200.00
Standard rate, payment received after 30 September 2016.
r Full registration for one accepted paper SGD$1080.00
r Registration without paper (participants from academia/research institutions, attending all events) SGD$540.00
r Registration without paper (participants NOT from academia/research institutions) SGD$1200.00
F. Payment method
I have transferred the sum of SGD$……………... by bank transfer to the following account.
Account name: MEMETIC COMPUTING SOCIETY
Bank name: Oversea-Chinese Banking Corporation Limited
Bank Code: 7339
Branch Code: 629
Account number: 222779-001
Bank address: OCBC Bank, 65 Chulia Street, OCBC centre, Singapore 049513
SWIFT Code: OCBCSGSG
G. Notes
Registration will only be confirmed by email upon verification of full payment credited into the conference account by bank transfer.
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