FDSE 2015 REGISTRATION FORM
International Conference on Future Data and Security Engineering
Ho Chi Minh City, Vietnam, November 23-25, 2015
Please return this form and the payment receipt of the bank transfer by email to: fdse@cse.hcmut.edu.vn , due on 05 Septemper 2015.
First name: Last name (family name): Paper ID:
Paper title: ……………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Affiliation:
Mailing address:
City: State: Postal code: Country:
Phone: Fax: E-mail:
Top of Form
Order
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Full name
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Fee (USD)
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Author (*)
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Non-Author
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1
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400 USD
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2
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400 USD
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3
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400 USD
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4
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400 USD
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5
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400 USD
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METHOD OF PAYMENT
By bank transfer to the following bank account:
Bank Name:
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VIETNAM BANK FOR AGRICULTURE AND RURAL DEVELOPMENT - HIEP PHUOC BRANCH
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Account No. (USD):
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1940209003307
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Swift Code:
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VBAAVNVX839
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Address:
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280A12-A13 LUONG DINH CUA Str, AN PHU Ward, District 2, HCM CITY, VIETNAM
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Recipient:
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KHOA KHOA HOC VA KY THUAT MAY TINH
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Purpose of payment:
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FDSE 2015
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Name of participant:
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Paper ID:
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Note: - All bank charges for the remittance must be paid by the registrant.
- A copy of the remittance receipt should be sent together with this registration form.
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