CONFERENCE PARTICIPATION AND SPONSORSHIP FORM: SOCTHADICKconf'23

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2023 INTERNATIONAL CONFERENCE AND ANNUAL GENERAL MEETING OF THE SOCIETY FOR THE ADVANCEMENT OF ICT & COMPARATIVE KNOWLEDGE (SOCTHADICKconf'23). [BANK: United Bank for Africa; ACCOUNT NUMBER: 1026187128 (Nigerian Naira Account), 3004083233 (US Dollar Account); ACCOUNT NAME: Society for the Advancement of ICT & Comparative Knowledge]

Title

Prof.

Dr.

Chief

Mr.

Mrs.

Miss

Other:

Clear selection

Name of Individual Conference Participant *

Name of Company (for a corporate organization)

Email *

Address *

Phone number *

Are You a Member of SOCTHADICK? *

Yes

Required

Registration Fee Paid? *

Amount Paid

Normal Registration Fee (Physical Mode) - NGN25,000.00 (Payment before 7th October, 2023)

Late Registration Fee (Physical Mode) - NGN30,000.00 (Payment after 7th October, 2023)

Normal Registration Fee (Virtual Mode) - NGN20,000.00 (Payment before 7th October, 2023)

Late Registration Fee (Virtual Mode) - NGN25,000.00 (Payment after7th October, 2023 )

Normal Registration Fee (Physical Mode; Youth Corper) - NGN10,000.00 (Payment before7th October, 2023 )

Late Registration Fee (Physical Mode; Youth Corper) - NGN12,500.00 (Payment after7th October, 2023 )

Normal Registration Fee (Virtual Mode; Youth Corper) - NGN7,500.00 (Payment before7th October, 2023 )

Late Registration Fee (Virtual Mode; Youth Corper) - NGN10,000.00 (Payment after7th October, 2023 )

Normal Registration Fee (Physical Mode; Undergraduate Student) - NGN7,500.00 (Payment before 7th October, 2023)

Late Registration Fee (Physical Mode; Undergraduate Student) - NGN10,000.00 (Payment after 7th October, 2023)

Normal Registration Fee (Virtual Mode; Undergraduate Student) - NGN5,000.00 (Payment before 7th October, 2023 )

Late Registration Fee (Virtual Mode; Undergraduate Student) - NGN7,500.00 (Payment after 7th October, 2023 )

Normal Registration Fee (Physical or Virtual Mode; International Participant) - USD200.00 (Payment before 7th October, 2023

Late Registration Fee (Physical or Virtual Mode; International Participant) - USD250.00 (Payment after 7th October, 2023)

Clear selection

Bank

Bank Teller/Reference Number

(Proposed) Date of Payment

YYYY

Name on the Bank Teller (if different from name of intended participant)

Are you presenting paper(s)?

Yes

Clear selection

If answer to above is yes, please state the title(s) of paper(s), if ready

Are you providing financial and/or material sponsorship at the Conference? *

Yes

If yes, please indicate the nature of sponsorship

Are you placing advert(s) in the conference media (Programme pamphlet, website, etc)? *

Yes

Are you mounting exhibition(s) of products at the conference? *

Yes

General Comments (if any)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms