TIC 2010

Online Registration for TIC 2010

Participants(s) Details :

	* Honorific/ Title	* First name	* Surname/ Family Name
1.
		* Email	* Meal Preference
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	Honorific/ Title	First name	Surname/ Family Name
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		Email	Meal Preference
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	Honorific/ Title	First name	Surname/ Family Name
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		Email	Meal Preference
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	Honorific/ Title	First name	Surname/ Family Name
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		Email	Meal Preference
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	Honorific/ Title	First name	Surname/ Family Name
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*Registration Type:

Registration Type:

Early Bird Registration	RM700 / USD240 / GBP150 per participant
Normal Registration	RM800 / USD270 / GBP170 per participant
Student Registration*	RM450 / USD160 / GBP100 per participant
Group Registration **	RM700 / USD240 / GBP150 per participant

To qualify for the early bird registration fee, we must receive your registration form together with payment by 31 May 2010. All registrations and payments received after 31 May 2010 will be processed at the normal registration rate.

* For Student Registration, please submit a letter from your institution confirming your student status.

** Group Discount Rate only applies for registration of 3 or more participants from the same institution.

Contact Person Details

* Name :	Postcode :
* Designation :	State :
* Organisation/Institution :	* Country :
* Postal Address :	* Email Address :
	Office Phone Number:
	Office Fax Number :
	Mobile Number :
		Eg. 60121234567

Please note that the fields in red * are compulsory

Payment Details

Payment Method :

All cheques / Bank Drafts to be made in favour of ‘TUNKU ABDUL RAHMAN COLLEGE’. Please state the participant (s) name, and “TIC2010” at the back of cheque; and send together with the completed registration form to :

The Conference Secretariat (Registration)
TARC International Conference on Learning and Teaching 2010
Tunku Abdul Rahman College
P.O.Box 10979, 50932 Kuala Lumpur, Malaysia

Details on payment via bank account and telegraphic transfer will be provided upon request. Please contact Conference Secretariat (Registration) for further information.

Number of participant (s) :
Cheque / Bank Draft No :
Bank :
Amount :