Registration Form

REGISTRATION FORM

10-12 December 2013

University of Baghdad

College of Science

 Print and send this registration form to:- Prof. Dr. Thamer K Al-Ameri, University of Baghdad Post, PO Box 47062, Jadiriyah, Baghdad, Iraq.

Mobile telephone: - 00964 7901 254669

 E mail: [email protected]

 

Registration

Name……………………………………………………………………………

Position…………………………………………………………………………

Organization…………………………………………………………………….

Address…………………………………………………………………………..…………………………………………………………………………………

E mail: ………………………………………………………………………….

Title of presentation (Oral or Poster)………………….......................................

…………………………………………………………………………………..

…………………………………………………………………………

…………………………………………………………………………

Registration Fees: 360 000 ID (300 US$) for non Iraqi’s and include conference sessions, proceedings, refreshments and conference lunch.

Payment: Payment should be either by Cheques addressed to "University of Baghdad, College of Science, Higher Education Box", or Money transfer to the president of organizing committee address mentioned above. For late payment, the fee should be 400 000 ID to the conference registration disc at 10th Dec. 2013.

 

Best regards of the organizing committee

You will be welcome in Baghdad


for the word format of the form click here.

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