BROCHURE ICFC REGISTRATION FORM 2011.

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REGISTRATION FORM
To : The Organizing Committee of ICFC 2011
Fax No. : 603 -5544 4921
I/We would like to register for International Conference on Financial Criminology (ICFC) 2011
Conference Fees (please indicate option as advised below)
Early registration (by March 31, 2011)
Late registration (after April 1, 2011)
Student registration**
Group registration**

Participant(s)* Details:
Title: ____________________________ Name: _________________________________________________
(or contact person for group registration)
Department: _____________________________________________________________________________

Organization: _____________________________________________________________________________

Telephone no.: _____________________ Email: ___________________________________________

*Please provide a list of participants as an appendix.

**Student & Group registrations are subject to early & late registration fees accordingly.

Dietary preference: Vegetarian Non - Vegetarian

Payment options (Please tick the appropriate box)

C

M Cheque Local Order

Y
Cheque number: ________________ LO number: ________________
RM/USD: ______________________ RM/USD: __________________
CM
Please make cheque payable to: Please make LO payable to:
MY Bendahari UiTM Bendahari UiTM
CY

Telegraphic Transfer
Bank Name and Address: Affin Bank Berhad UiTM Branch
CMY

K
Menara Sultan Abdul Aziz Shah
Universiti Teknologi Mara
40450 Shah Alam, Selangor
Bank Account Number: 105140003299
Bank Account Name: Kumpulan Wang Perundingan
Pay to: Bendahari UiTM
Swift Code: PHBMMYKL

*All receipts will be issued on the day of the conference

Signature: _____________________________________ Date : ________________________________

Terms and Conditions: Conference Registration Fees Cancellation Policy
Registration Process and Payment Method Conference registration can be cancelled only in
Early Registration before March 31 2011: writing to:
1. Participants will be able to select the early fee up until RM 1,200 (Malaysian Ringgit)/ USD 388.00 INTERNATIONAL CONFERENCE OF
17:00 GMT March 31, 2011. If payment has not been Late Registration after April 1, 2011: RM 1,700 (Malaysian FINANCIAL CRIMINOLOGY (ICFC 2011)
received by this date, registrants will be charged the Ringgit)/ USD 550.00 Level 12, Faculty of Accountancy
late fee. However, a very favourable group package is offered, if you Menara SAAS, Universiti Teknologi MARA,
2. Conference registrations will not be confirmed until register as a group, as follows: 40450 Shah Alam,
the completed form and the correct payment is 5 people RM5,500/USD1,778 Selangor Darul Ehsan
received and processed by the registration office. 10 people RM10,000/USD3,234 Malaysia.
3. Participants should obtain confirmation from the Tel: +603 -55444747,+603 -55444932
15 people RM13,500/USD4,365
registration office before committing to any travel Fax: +603 -55444921
arrangement. 20 people RM16,000/USD5,174 email: rozainun@salam.uitm.edu.my or
4. The registration office cannot be responsible for your Full -time postgraduate students attending conference will be rosza225@salam.uitm.edu.my or
spam filters blocking your confirmation email. Please charged a promotional registration fee of RM500 (Malaysian nurfarra@gmail.com
be sure your spam filters will allow mail from our Ringgit)/USD147.00. Proof of student status is required. If you are unable to attend the conference, substitutes
office. Attendees for the conference are charged with the fees are welcome at no extra charges. If you wish to
5. Accommodation costs are not included in the accordingly as stated. Registration fees include: Luncheons, substitute a participant, please contact the Conference
conference registration fee. Attendees are Dinner and Entertainment, Copy of Conference Program and Registration Office at the earliest opportunity.
responsible for making their own lodging as well as Certificate of Attendance. No fees will be refunded
arrangements. Upon signing the registration form, you are deemed to
6. Capacity is limited to 300 attendees. Registrations have read and accepted the terms and conditions.
will be handled on a first -come, first -served basis.