R2R: Registration Form
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Full Name (Will appear on your Id Card) *
Email *
Gender *
Are you affiliated with any organization? *
If Yes, Organization name
Designation
Your expertise area? *
Country *
Nationality *
Passport number *
Your Travel Plan
Flight detail *
Your arrival date in Nepal? *
MM
/
DD
/
YYYY
Arrival time in Nepal *
Time
:
Flight Number *
Departure Date? *
MM
/
DD
/
YYYY
Departure time? *
Time
:
Flight Number *
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. )
Clear selection
Please select your preferred room type
Clear selection
Check In date
MM
/
DD
/
YYYY
Check Out date
MM
/
DD
/
YYYY
Any special preference?
Food
Any dietary requirements?
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 role in this conference is as of?
Clear selection
If Presenter, what is the title of your presentation?
Submit
Clear form
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