R2R: Registration Form
Full Name (Will appear on your Id Card) *
Your answer
Email *
Your answer
Gender *
Are you affiliated with any organization? *
If Yes, Organization name
Your answer
Designation
Your answer
Your expertise area? *
Your answer
Country *
Your answer
Nationality *
Your answer
Passport number *
Your answer
Your Travel Plan
Flight detail *
Your answer
Your arrival date in Nepal? *
MM
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DD
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YYYY
Arrival time in Nepal *
Time
:
Flight Number *
Your answer
Departure Date? *
MM
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DD
/
YYYY
Departure time? *
Time
:
Flight Number *
Your answer
Accommodation
Do you require accommodations? *
If Yes, please select your preferred hotel (Note: provided rates are with Bed & Breakfast (BB plan) and exclusive of 10% service charge and 13% VAT per night. )
Please select your preferred room type
Check In date
MM
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DD
/
YYYY
Check Out date
MM
/
DD
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YYYY
Any special preference?
Your answer
Food
Any dietary requirements?
Your answer
Field Trip
Field trip date: 21 June 2018
Do you want to be a part of field trip? *
About Conference
How did you know about this conference?
Your answer
Your role in this conference is as of?
If Presenter, what is the title of your presentation?
Your answer
Submit
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