ICNB 2019 Registration Form
This form is for the registration of International Conference of Nation Building 2019 (Nov 26 - 27, 2019) by interested participants. Registration is only deemed confirmed when full payment of the registration fee has been made.
Email address *
PLEASE ENSURE THE INFORMATION YOU HAVE ENTERED IS CORRECT BEFORE SUBMISSION
You may contact claudineolee@nbi.in.th if you have any enquiries.
Name *
Your answer
Title *
Required
Designation in Organisation *
Your answer
Organisation *
Your answer
Nationality *
Your answer
Mailing Address *
Your answer
Mobile Number *
Your answer
Office Number
Your answer
Fax Number
Your answer
Email *
Your answer
Will you be presenting an academic paper? *
If yes, what is the topic of your presentation?
Your answer
If yes, please submit a short ABSTRACT of your presentation. (Email a copy to claudineolee@nbi.in.th)
Your answer
REGISTRATION FEE
Please select only ONE (1) category of your choice EITHER in REGULAR DELEGATE or STUDENT DELEGATE.

If you choose the EARLY BIRD category you are required to make payment by October 1, 2019.

Please choose STANDARD FEE category if you intend to make payment from October 2, 2019 onwards.

If you wish to make payment ONSITE please take note of the fee for payment on the day of event.

*Payment shall be made in Malaysian Ringgit.
*The registration fee includes conference materials, coffee break & lunch.
*All fees are exclusive of 6% of Malaysian Sales and Services Tax (SST).
Do you prefer a vegetarian ONLY meal? *
Regular Delegate
EARLY BIRD (Payment before 1 October)
STANDARD REGISTRATION (Payment from 2 October onward)
ONSITE REGISTRATION (Payment to be made on the day of the event)
Student Delegate
EARLY BIRD (Payment before 1 October)
STANDARD REGISTRATION (Payment from 2 October onward)
ONSITE REGISTRATION (Payment to be made on the day of the event)
PAYMENT METHOD
Online Bank Transfer is the only available payment method for participants residing outside Thailand and Malaysia.

The Bank Transfer should be made to the following account:
(kindly email the payment slip to claudineolee@nbi.in.th for checking)

Account Name : NBI NATION BUILDING MALAYSIA SDN. BHD.
Name of Bank :PUBLIC BANK BERHAD
Bank Account Number: 3213299100
Bank Address : Lot 1-0-M45 to M51, 1, Jalan Centre Point, City Parade, Centre Point Sabah, 88000 Kota Kinabalu, Sabah, Malaysia
Bank Swift Code : PBBEMYKLXXX

Payment within Malaysia can also be made by Cheque or Bank Draft payable to:
NBI Nation Building Malaysia Sdn. Bhd.

* Registration is only complete when full payment has been made.
* Admittance may be denied upon failure to make full payment
Cancellation Policy or Substitution Policy
Upon registering, participant(s) are considered successfully enrolled in the event. Should participant(s) decide to cancel/transfer their enrolment, a cancellation/transfer policy shall be applied as follows.
a) Written cancellation/ transfer received less than three (3) days from the date of the event:
• A refund (less administrative charge of 20%) will be made
• Unpaid registrations will also be liable for 20% administrative charges

b) Written cancellation/no show on the day of the programme:
• No refund will be entertained
• Unpaid registrations will also be liable for full payment of the registration fee - Partial cancellation is not allowed

You can substitute an alternate participant if you wish to avoid cancellation/transfer charges. Any difference in fees will be charged accordingly.
BILLING INFORMATION
(If the information is the same as above, please ignore this)
Name
Your answer
Designation
Your answer
Department
Your answer
Organisation
Your answer
Address
Your answer
Mobile Number
Your answer
Office Number
Your answer
Fax Number
Your answer
Email
Your answer
DATA PROTECTION STATEMENT & PRIVACY
By filling out the registration form, the participant gives consent that ICNB can process the personal information provided, whether now or in the future, may be used, recorded, stored, disclosed or otherwise processed by or on behalf of ICNB for the purposes of facilitation and organisation of this or similar conference, research and audit, maintenance of a delegate database for the promotion of this or similar conference, and such ancillary services as may be relevant.
DISCLAIMER
ICNB reserves the right to change the speaker(s), date(s) and to cancel the programme should circumstances beyond its control arises. ICNB also reserves the right to make alternative arrangements without prior notice should it be necessary to do so.
REGISTRATION ONSITE
Everyone with an approved registration must come in person to the registration desk with proper identification used to complete the online registration in order to collect conference badge and materials.
FURTHER INFORMATION
You may download the Event Programmes and Academic Paper Guidelines here:
https://drive.google.com/drive/folders/1rK8QuoVRXmegzdN-e2qkIz2ptY5IGFyL?usp=sharing

For further information on ICNB 2019, please visit our website at: http://icnb.co/
Or visit our Facebook page: https://www.facebook.com/conferenceonnationbuilding/
A copy of your responses will be emailed to the address you provided.
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