SSWR 2004 Registration Form by WesleyL

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									                                  International Conference on “Security and Sustainability in Water Resources”
                                                                         November 28-30, 2004                              Kathmandu
                                                                                       REGISTRATION FORM
       Note: SAARC countries include Bangladesh, Bhutan, India,             Early Bird Registration                     Pre-registration                           On-site
               Maldives, Nepal, Pakistan and Sri Lanka
                                                                             Before June 30, 2004                  Before November 20, 2004                      Registration
Professional
    SAARC Region                                                                         USD 250                                  USD 300                            USD 400
    Non-SAARC Region                                                                     USD 300                                  USD 350                            USD 450
    Nepalese Citizen                                                                     NPR 7,000                                NPR 8,000                          NPR 10,000
    Foreign National Based in Nepal                                                      USD 150                                  USD 175                            USD 200
Academician
   SAARC Region                                                                          USD 200                                  USD 250                            USD 350
   Non-SAARC Region                                                                      USD 250                                  USD 300                            USD 400
   Nepalese Citizen                                                                      NPR 4,000                                NPR 5,000                          NPR 7,000
Student
    SAARC Region                                                                         USD 150                                  USD 200                            USD 250
    Non-SAARC Region                                                                     USD 200                                  USD 250                            USD 300
    Nepalese Citizen                                                                     NPR 2,000                                NPR 3,000                          NPR 4,000
Accompanying Person
   SAARC Region                                                                          USD 150                                  USD 200                            USD 250
   Non-SAARC Region                                                                      USD 200                                  USD 250                            USD 300
   Foreign National Based in Nepal                                                       USD 150                                  USD 175                            USD 200
Instruction:
      1.       Discount: Every fourth participant from the same organization/institution group gets one free registration only.
      2.       Proof: All academicians and students must send a letter of certification from their institution along with their registration.
      3.       Confirmation: Upon receipt of Registration Form and fee, the Organizing Committee will issue a letter of confirmation. It is to facilitate the delegates' travel and visa
               arrangements. The confirmation does not imply provision of financial or other support.
      4.       Language: The official language of the Conference is English. Simultaneous interpretation will not be available.
      5.       Dress Code: Participants are requested to attend the conference, sessions and other conference related functions in casual, semi-casual dresses or national dress.
               Please avoid wearing jeans, t-shirts, caps and hats.
      6.       Liability: The Organizing Committee is not liable for personal accidents or loss/damage to private properties of registered participants during the Conference.
               Participants should make their own arrangements with respect to personal insurance.
      7.       Disclaimer: Whilst every attempt shall be made to ensure that all aspects of the Conference mentioned in this announcement will take place as scheduled, the
               Organizing Committee reserves the right to make last minute changes should the need arises.

Payment Information:
    Full payment must accompany the registration form. All payments must be made in US Dollars. Payments made by Bank Draft or Bank Transfer must be
    remitted to The Center for Sustainability, Environment, Equity and Partnership (SEEP), Account No. 0101017500112, Nepal Arab Bank Limited,
    Kantipath Branch, Kathmandu, Nepal (Tel : 977-1-4227181, Fax : 977-1-4226905, SWIFT CODE: NARB NPKA)

               Bank Draft (bank draft will not be accepted 01 month before the conference date)
               Bank/Telex Transfer
               Cash
               Credit Card                  VISA                     MASTERCARD

               Name
               Card#
               Expiry Date
               Signature                                                                              Date
Cancellation Policy:
     Cancellations must be in writing. Those received by November 20, 2004 will be subject to a penalty of 25% of total fees. Cancellation will not be refunded after November 20,
     2004; no exception!
PERSONAL INFORMATION
     Dr.   Prof. Mr. Mrs.                       Ms.
    Department
    Organization / Institution
    Address
    City                                                                                              Postal/Zip Code
    Country
    Ph
    Fax
    eMail                                                                                             Date
                                                   S E E P, The Center for Sustainability, Environment, Equity & Partnership
                      P.O. Box: 8973 NPC 331, Kathmandu, Nepal, PH: (977-1) 424 2917, Fax: (977-1) 422 6028 / 441 7182, eMail: SeepWater@SeepWater.org

								
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