REGISTRATION FORM FOR JOINT CONFERENCE ND 2 SIMPI (Sustainability Initiatives: Case Studies in Malaysia, Philippines and Indonesia) And International Conference on Urban Studies FAR EASTERN UNIVERSITY Manila, Philippines 04-05 May 2016 Delegate Details Name: _______________________________________________________________________ IC No./Passport No.: _______________________________________________________________________ Affiliation: _______________________________________________________________________ Designation: _______________________________________________________________________ Mailing Address: _______________________________________________________________________ Office No.: _______________________________________________________________________ Mobile Phone No.: _______________________________________________________________________ Email: _______________________________________________________________________ Venue Date Mini Auditorium, Technology Building 04-05 May 2016 Far Eastern University Sampaloc, Manila Philippines Conference Fees Early Bird (on/before April 15, 2016) Regular Rates 180 MYR 236 MYR 2000 PhP 2500 PhP 50 USD 55 USD Undergraduate Student Rate – 500PhP/day Payment can be made through telegraphic transfer or deposited to: Account Name: FAR EASTERN UNIVERSITY Bank : Bank of the Philippine Islands (BPI) Branch : Morayta, Manila, Philippines Account Number: 1583-0468-08 Swift Code: BPOIPHMM Signature: __________________________________ Date: ______________________ IMPORTANT: Please email the accomplished registration form along with the scanned copy of validated deposit slip/ Money transfer receipt to [email protected] Further Inquiries FEU University Research Coordinator: Joventina Madriaga Address: Science Building 318, Far Eastern University, Sampaloc, Manila, Philippines Tel.: (+632)735-5621 loc. 323 Email: [email protected] FEU University Research Staff: Liezl Bartolome Address: Science Building 318, Far Eastern University, Sampaloc, Manila, Philippines Tel.: (+632)735-5621 loc. 394 Email: [email protected] Fax: (+632)735-7629 * Program invitation to follow
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