REGISTRATION-FORM.docx

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REGISTRATION FORM

The 2^nd AUAP-WFUNA LEDAERSHIP TRAINING PROGRAMME AT THE UN September 16-23, 2019

Geneva, Switzerland --- Please use a separate form for each person.

Please return this completed form to AUAP Secretariat by email, on or before May 31, 2019 to E-mail: auapheadquarters@aunap . org

I. Personal Data:

 Asst. Prof.//  Assoc. Prof//  Prof.Dr/  Dr./  Mr. /  Mrs.//  Ms.

First Name: ……….. Family Name: ………….………..

Position: ……… Institution:

………...

Passport No.: ………..…... Date of Issue: ……..…...Date of Expire:.... ….….……….Date of Birth: ….…...……

Address:

………

Country: ……….. Email:

………...Telephone: ...……….

II. Payment of Registration:

□

AUAP Member 3,300 U

□

Non-AUAP Member 3,800 USD

Full Payment should be made by bank transfer to AUAP Secretariat: (bank details below):

The registration fee should be paid to:

Beneficiary (Account Name): SUT-AUAP Petty Cash

Beneficiary Bank (Bank Name): Siam Commercial Bank Public Company Limited

Beneficiary A/C No (Account Number): 707-220205-4 Swift Code: SICOTHBK

Bank Address : Siam Commercial Bank Public Company Limited Technopolis Surapat Building

Suranaree University of Technology

111 University Avenue, Suranaree Sub District Muang, Nakhon Ratchasima Province 30000, Thailand

III. Flight Information.

Date & Time of Arrival: ……….Flight No: ………...

Date & Time of Departure: ………Flight No:

………

IV. Please specify any food restrictions: ………

Signature………

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Date………..

Remarks:

1) Registration fee includes:

1.1 Lunch during the LTP on September 16-20.

1.2 Cultural Trip on September 20-21.

1.3 Hotel on September 20and 21.

1.4 Meals on September 20 (pm.) and 21.

1.5 Entrance Fees on September 21.

Participants will be responsible and pay separately for international travel, visa fee, insurance, hotel and transfer from airport- hotel on their arrival to Geneva.

Completed registration form and bank slip payment must be submitted to AUAP Secretariat by email, on or before April 30, 2019 to E-mail: auapheadquarters@aunap . org

2) Cultural Trip on Sept 20 (pm.) - 21 ( Breakfast, lunch, dinner, entrance fees and transfer to Geneva Airport)

3) Payment Method: By bank transfer full payment excluding bank charge.

4) Language: English 5) Non refundable

FOR MORE DETAILS PLEASE CONTACT

Ms. Supaporn Chuangchid AUAP Executive Secretary

Association of Universities of Asia and the Pacific (AUAP) Email: auapheadquarters@aunap . org