Untitled Document
 
ICTED'2010 Online Registration Form
   

 

 

 

 

:

 
1. Personal Information :  
First Name : Last Name :
Email Address :
Address :
Phone No : Fax No :
2. Official Information :
Name of Insititution :
Position :
Country:
3. Registration Type :
Enter your Registration Type : a) Regular Registration
b) Student Registration
Registration Fees : a) $500 USD for Regular Registration
b) $400 USD for Student Registration
Date of Registration :
4. Payment Options :
Enter the payment Options :
Date of payment Transfer