Registration Form 2024 | International Workshop on UI GreenMetric

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 4th, 2024. Please let us know if you will attend by ticking the "yes" box.

Would you like to join Welcoming Dinner ?*

Yes
No

On the third day (June 7th, 2024), we will provide an optional tour to the National Park Matarredonda 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

Please let us know if you have any allergy or restriction of food

Do you eat beef ?

Yes
No

Do you eat pork ?

Yes
No

Do you eat fish ?

Yes
No

Are you allergic to gluten ?

Yes
No

Are you lactose intolerant ?

Yes
No

Any other comment about your diet ?