ICCE-Asia 2019 REGISTRATION For Domestic authors/participants

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Email *

Title : *

First name : *

Last name : *

Affiliation : *

Contact number : *

Address : *

Country *

Paper ID *

Paper Title : *

Do you require vegetarian meal ? *

Yes

Required

Will you attend Banquet on June 13 2019? *

Yes

Required

Type of Registration Domestic (Thai Baht): *

Full registration (IEEE and CES members) : THB 16,500 Regular (by June 11)

Full registration (IEEE member) : THB 18,000 Regular (by June 11)

Full registration (Non IEEE member) : THB 19,500 Regular (by June 11)

Student (IEEE and CES members) : THB 11,500 Regular (by June 11)

Student (IEEE member) : THB 13,000 Regular (by June 11)

Student (non IEEE member) : THB 14,500 Regular (by June 11)

Other:

Required

After submitted this registration form, please make a wire transfer of the registration fee and send a copy of transaction with your name on it along with Google Forms confirmation e-mail of registration and a copy of IEEE/CES membership (if needed) to the secretariat by e-mail (icceasia2019@gmail.com). *

Yes, I agree to terms and conditions for participation at ICCE-ASIA 2019 Conference.

Required

Bank transfer Information (for domestic participants only)

Bank name: Siam Commercial Bank
Branch name: Chulalongkorn University
ฺBranch address: 254 Phayathai Road Pathumwan District Bangkok 10330
Account number: 437-027757-7
Name on the account: IEEE ICCE Asia 2019

A copy of your responses will be emailed to the address you provided.

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