REGISTRATION FORM FOR JOINT CONFERENCE 2ND SIMPI

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