Registration form international Conference on Future Data and Security Engineering



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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

Full name

Fee (USD)

Author (*)

Non-Author

1




400 USD





2




400 USD





3




400 USD





4




400 USD





5




400 USD






METHOD OF PAYMENT

By bank transfer to the following bank account:

Bank Name:

VIETNAM BANK FOR AGRICULTURE AND RURAL DEVELOPMENT - HIEP PHUOC BRANCH







Account No. (USD):

1940209003307

Swift Code:

VBAAVNVX839

Address:

280A12-A13 LUONG DINH CUA Str, AN PHU Ward, District 2, HCM CITY, VIETNAM

Recipient:

KHOA KHOA HOC VA KY THUAT MAY TINH

Purpose of payment:

FDSE 2015

Name of participant:

     

Paper ID:

     

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.



Date:

Signature:





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