REGISTRATION FORM
The 4th Student English Speech Competition on
“ LIFE IS NOT JUST ABOUT SURVIVAL BUT ALSO ABOUT REALIZING SELF-FULFILLMENT.”
Sias University, Zhengzhou, China November 5-10, 2019
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Please fill up the registration form and send to AUAP Secretariat at email: [email protected] on or before September 15, 2019
I. Cadidate 1:
MISS
MR.
First Name: ………Middle Name:……… Family Name: .………..
Faculty: ……… Institution: ………...
Country………..
Email: ………...Telephone: ...……….
II. Candidate 2:
MISS
MR.
First Name: ………Middle Name:……… Family Name: .………..
Faculty: ……… Institution: ………...
Country………..
Email: ………...Telephone: ...……….
III. Tutor:
Asst. Prof. / Assoc. Prof./ Prof.Dr./ Dr. / Mr. / Mrs. / Ms.
First Name: ………Middle Name:…………...….. Family Name: ………
Position: ……… Institution: ………...
Email: ………...Telephone: ...……….
IV. Payment of Registration:
Please check the appropriate box below:
AUAP member NON AUAP member EARLY BIRD (till September 15, 2019) per person 500 600 USD After the deadline of EARLY BIRD (per person) 550 USD 650 USD
At Site (per person) 650 USD 750 USD
Full Payment should be made by bank transfer to Sias University Bank Account details below:
Bank Details:
Account Name: ZHENG ZHOU DA XUE XI YA SI GUO JI XUE YUAN Account Number: 252000626329
Bank Name: XINZHENG SUB BRANCH HENAN BRANCH BANK OF CHINA SWIFT CODE: BKCHCNBJ530
Address: NO 239 XIN HUA ROAD, XINZHENG CITY, HENAN PROVINCE, China Phone: Mr. Julian Yue :15838030113
Signature………
Date……….
Remarks:
1 The fees include accommodation, meals, field trip and pick up and send off to Zhengzhou International Airport
2. Non refundable.
Contact Persons:
1. Mr. Junliang Yue MBA, MA.Ed.
Director, Office of International Affairs Sias University
168 Renmin Rd., Xinzheng, Henan 451150 Email: [email protected]
Phone: 15838030113 2. Supaporn Chuangchid
Executive Secretary
Association of Universities of Asia and the Pacific (AUAP) Suranaree Universities of Technology
Academic Building 2, 111 University Avenue
Suranaree District. Muang, Nakhon Ratchasima 30000, Thailand Email: [email protected]
Phone, What’sApp., Viber: +66 857687474 Website: www.aunap.org
Twitter: auap headquarter www.linkedin.com/in/
Facebook: https://www.facebook.com/AssociationofUniversitiesofAsiaandthePacific
