REGISTRATION FORM

PERSONAL INFORMATION

* Mandatory field
  Please fill out the form in English
Title : * Prof     Dr     Mr     Mrs     Ms     Others    
First Name : *
Family Name / Last Name: *
Preferred Name on Badge : *
Dietary Requirement : * No Dietary Requirement   Vegetarian   Halal   Others

JOB INFORMATION

 
Institution / Organisation: *
Department :
Position : *
Office Address : *
Postcode :
State / City : *
Country : *
Tel. No. (Office): *

CONTACT INFORMATION

 
Mobile No. : *
Email : *
Alternative Email :


REGISTRATION FEE *
2-Day Conference (16th - 17th January 2021)
Category Early-bird
(Before 1st Nov 2020)
Normal
(1st Nov - 31th Dec 2020)
Onsite
(14th - 17th Jan 2021)
Allied Health/ Fellows/ Students/ Nurses     SGD 300     SGD 350     SGD 400
Delegates - Regular Fee     SGD 480     SGD 580     SGD 680
Delegates - LMICC Fee *     SGD 400     SGD 500     SGD 600
* as defined by the World Bank who are from a low- or middle-income country.
https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups
Workshop
How did you hear about 5th ADS 2021? *
Associations Magazines / Journals Related Events / Congress / Conferences
Personalised Invitations Website of ADS Other websites (Web banners / text advertisements)
Email Newsletters Word-of-Mouth / Referral Others :
 
Payment:*

Credit Card (Paypal)

Singapore Cheque (Please register, print out the acknowledgement letter and mail to us together with the cheque)
      Bank :     Cheque No. :
      payable to E7 TEchnologies Pte Ltd
              Mailing address: 62 Ubi Road 1, #05-06 Oxley Bizhub 2, Singapore 408734

Bank Transfer or Telegraphic Transfer (Please transfer before register, email the transaction record to registration@e7tech.com)
      Bank :     Transaction No. :     Transfer Date. :

 Account Name : E7 Technologies Pte Ltd
Account Number : 533711396001
Account Bank : Oversea-Chinese Banking Corporation Limited (OCBC)
Bank Address : OCBC Centre Floor 9, 65 Chulia Street Singapore 049513
SWIFT Code : OCBCSGSG

Acceptance of registration is at the sole discretion of the Organiser.

All payments will be charged in SGD. International delegates can make payment by Credit Card and Telegraphic Transfer. Singapore Delegates can make payment by Local Cheque, Credit Card, Bank Transfer

Please note that all related bank charges or financial charges are to be borne by the delegates and are not to be deducted from the net fee payable to the conference.

Official invoice and official receipt will be provided only upon request.

Cancellation :

Cancellation of registration must be done in writing and submitted to us by email at registration@e7tech.com

Any cancellation received on or before 31st Oct 2020 will be charged a handling fee of SGD 100. The balance of the registration fees will be refunded after deducting other related fees and charges incurred in connection with such refunds, including cost of foreign exchange conversions, Credit Card cancellation and/or banking transaction.

Paid registration fee is not refundable after 31st Oct 2020 for whatever reasons including failure of obtaining VISA.

All refunds will be made in SGD at the prevailing foreign exchange rate. Refund for cancellation will be made within three months after the Conference (from 18th Jan 2021 onward).