| Please fill in all of the relevant information
|
| First Name:
|
|
| Last Name:
|
|
| Registration as :
|
|
| Institution :
|
|
| Correspondent Address :
|
|
| Email Address:
|
|
| Phone no. :
|
|
| Fax no. :
|
|
| Title of Presentation :
|
|
| Other Authors of the Paper (If more than 1 author) :
|
|
| Food preference:
|
No preference
Vegetarian |
| Other special needs (please specify):
|
|
| Presenter's biodata (not more than 100 words):
|
|
| Are you interested in attending the conference dinner? :
|
Yes
No |
|
|
