Registration Form

4
th
Annual International Conference on
Sustainable Energy and Environmental Sciences (SEES 20!"
#ate$ %
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February 20!' (enue$ SI)*A+,RE
Please fll in the form, sign by hand, and send it via one of the following:
Fa-$ ./! /021 0/2 2 E3mail$ secretariat4env3energy5org
Title (Student/Prof/Dr): _____ irst !ame: ___________________"ast !ame:
_______________________
Pa#er $D: ____ Pa#er Title: _________________________________________________ (for
authors only)
$nstitution:
_______________________________________________________________________________
Street %ddress:
____________________________________________________________________________
&ity: __________________ State: _____________ &ountry: _______________________ 'i#:
___________
Phone: ___________________ a(: __________________ )mail:
__________________________________
Dietary *e+uirements: ______________________ %ttending ,onferen,e: -es / !o
Conference Registration Fees
The full registration fee in,ludes: .eynote / invited s#ea0ers session(s) (if any), ,on,urrent
sessions of Te,hni,al Program, &onferen,e Pro,eedings, lun,h, morning and afternoon
refreshment brea0s and 1ST Polo T Shirt2
6adies7 +olo 83Shirt Si9e$ S 345
:en7s +olo 83Shirt Si9e$ S 346 7 389 " 38: ;"
388
;ecome a *S8F Associate :ember (. S*# 40" ;ecome a
*S8F Student :ember (. S*# 2!"
(7embers will avail of the subsidi<ed fees as indi,ated on the ne(t #age)
Regular +a<ers
8ic=
a<<ro<riate
category
Category Registration Fee (S*#"
For Regular +a<ers
)arly=bird registration = %uthor (1ST 7ember) 699
)arly=bird registration = %uthor (Student) 699
)arly=bird registration = %uthor (!on 7ember) 6>9
Additional Authors 4002<a-
Additional +a<ers 4002<a<er
)(tra Pages (u# to 8 e(tra #ages) 69/#age
"ate registration = %uthor (1ST 7ember) ?999
"ate registration = %uthor (Student) ?999
"ate registration = %uthor (!on 7ember) ??99
For +osters > E-tended Abstracts
)arly=bird registration = %uthor (1ST 7ember) >>9
)arly=bird registration = %uthor (Student) >>9
)arly=bird registration = %uthor (!on 7ember) 599
Additional Authors 2!02<a-
Additional +osters2EAs 2!02<a<er
"ate registration = %uthor (1ST 7ember) @>9
"ate registration = %uthor (Student) @>9
"ate registration = %uthor (!on 7ember) 699
For )on3Authors
!on=%uthor Parti,i#ant >@9
!on=%uthor Parti,i#ant A Pro,eedings 5@9
)ote$
= $n order to avail of the student rates, a formal letter from their Bniversity is re+uired2
= $f the registered #arti,i#ant is unable to attend, the registration may be transferred to another
#resenter2 S/he must inform the &onferen,e Se,retariat a month before the ,onferen,e2 !o refunds will
be issued2
+ayment methods Chen ma0ing #ayment, #lease indi,ate the #a#er $D and title in the
#ayment sli#2
5 ?ire transfer (88"
%,,ount !ame: D1lobal S,ien,e and Te,hnology
orum Pte "tdE
Fan0 %ddress: BGF, %nson *oad, H9?=9?
$nternational Pla<a, Singa#ore 9@II94
%,,ount !umber: 9>@=4@8=498=4>6=5
SC$T &GD): BGJFS1S1
K or wire transfer, #lease add S*# 4!500 for
lo,al/overseas ban0 ,harges2
25 Credit2#ebit Cards
Payment ,an be made online via PayPal2
Please follow the lin0 #rovided on the
,onferen,e website2
Please email the &onferen,e Se,retariat your
PayPal #ayment sli# along with the
registration form2
K%ll PayPal transa,tions will in,lude a >L
PayPal administrative fee2
Authors Signature and date: