SPEAKER REGISTRATION FORM

Nam e (A s yo u w ish it to appe ar on con fe ren ce m ate ri als )

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Co rre spond ing Ad dre ss

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Em ai l . :……………………………HpN o: .………………………………………Fa xNo.: …………………………………

Tit le of Pres enta tion ( very important, if there are any changes)

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Au di o V isu al N eeds ( Ple as e t ic k) LCD Projector

BI OG RA PHI CAL INF OR MA TI ON : For the purpose of introduction please provide a sketch of
education, professional background , and work experience relevant to the seminar. No more than 50-70
words. Please e-mail your biography information to isws2007@gmail.com by 30th July 2007.Please
prepare your presentation in power point.

Sp eci al N eed s : ( Pl eas e ti ck)

If you need special assistance to participate fully in the seminar

Vegetarian meal preferred

Met ho d of Pay me nt (P le ase t ic k)

Banker’s Cheque/Telegrapic Local
Cash Cheque
Transfer Order
Cheque payable to : ISWS2007 ac no. 14-1 62-0 1-0 01023-2 BIM BMYKL (fo r for ei gn del eg at e)
an d 14- 162- 01- 001023- 2 BIMB (for Mal aysi a) . The pay in sli p end or sed by the bank will
be us ed as evi den ce of payme nt. *Participation depend upon full payment of the registration fees
before the seminar date or upon us receiving a guarantee letter that full payment of the registration fees
will be made to us by the affiliate organization. Currency exchanges are the responsibility of the registrant
and the Seminar Secretariat will accept no liability for money loss through bank charges, transfers or
currency fluctuations.

Can ce ll at ion Pol ic y: Cancellations will only be processed upon receipt of written notification. 50%
will be deducted from the registration fee for cancellation made afte r 30/7/20 07.

Re tu rn Thi s F or m wi th P aym en t
 MAI L TO :
FA X TO : ISWS 2007 SECRETARIAT
603 6196 4864 O KULLIYYAH OF ARCHITECTURE AND ENVIROMENTAL DESIGN
EMAIL TO R INTERNATIONAL ISLAMIC UNIVERSITY OF MALAYSIA
isws2007@gmail.com P.O.BOX 10, 50728 KUALA LUMPUR
MALAYISA