CIIC2018 Registration Form
Kindly be informed that all authors must pay the fee and submit this form no later than 30th October 2018.
The detail payment instructions can be found at http://ciic.cms.net.my/ciic2018/fees.html
Email address *
Full Name *
Affiliation *
Highest Academic Qualification
Address
Phone number *
Paper ID (PID) *
Paper Title *
Are you the presenter? *
Name the presenter of this paper.
Car plate number of your transport, if you bring your own (for parking sticker).
Mode of Payment *
Proof of payment (pdf or image format only) *
Required
Dietary restriction *
Required
By submitting this form, I agree to pay the fees and acknowledge the conditions. *
Required
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