Registration Form 2023

Full Name and Academic Title*
Example, Prof. Dr. Ir. Abcde Fghij, M.Sc.
Position in University*
University*
Country*
Email 1*
Email 2
Mobile Phone Number (WhatsApp)
--------Additional Information--------
No. Passport*
Date of Issue*
MM
DD
YYYY
Date of Expiry*
MM
DD
YYYY
Home Address*
Telephone Number (Ext)*
Do you need an invitation letter for visa requirement ?*
- Yes
- No
A welcome dinner will be held on June 15th, 2023. Please let us know if you will attend by ticking the "yes" box.
Would you like to join Welcoming Dinner ?*
- Yes
- No
A welcome dinner will be held on June 15th, 2023. Please let us know if you will attend by ticking the "yes" box.
On the third day (June 17th, 2023), we will provide an optional city tour which is included in the registration fee. Please let us know if you will join by ticking the "yes" box.
Would you like to join ?*
- Yes
- No