Secretariat use only Reg. No. |
17th IUPAC INTERNATIONAL CONFERENCE
ON CHEMICAL EDUCATION
August 6-10, 2002,Beijing, China
REGISTRATION FORM (FROM A)
Title: Prof. __Dr. __Mr. __Ms. __Miss
Family Name First Name Middle Name
Name: __________________________________________________________________
Affiliation:________________________________________________________________
__________________________________________________________________________
Mailing Address: __Office __Home (check one)
__________________________________________________________________________
__________________________________________________________________________
City_________________________________ Country_____________________________
Phone________________________________ Fax_________________________________
E-mail____________________________________________________________________
___I plan to attend the Conference
___I plan to attend the Conference and to present a paper
___in oral form in poster form
___I plan to attend the Post -Conference Tour____with ____persons
Provisionally entitled
__________________________________________________________________________
Accompanying Persons
Family Name First Name Middle Name
__Mr.__ Ms._______________________________________________________________
__Mr.__ Ms._______________________________________________________________
__Mr.__ Ms._______________________________________________________________
Registration Fee (check category and fill in the amount to be paid)
Category |
Before April 30, 2002 |
After June 30, 2002 |
Amount to be paid |
Participants |
USD 350 |
USD 400 |
USD |
IUPAC Affiliates |
USD 315 |
USD 360 |
USD |
Students |
USD 270 |
USD 320 |
USD |
Accompanying Persons |
USD 170 |
USD 200 |
USD |
Total |
USD |
||
17th IUPAC INTERNATIONAL CONFERENCE
Secretariat use only Reg. No. |
ON CHEMICAL EDUCATION
August 6-10, 2002, Beijing, China
HOTEL RESERVATION FORM (FROM B)
___Male ___Female
Type |
Length of stay |
Fragrant
Hill Hotel, Single, Share |
_______Night |
Fragrant
Hill Villa, Single, |
_______Night |
Fragrant
Hill Villa, Share, |
_______Night |
Total _________USD |
|
I have sent the deposit_______ USD on _________________________________ |
|
I hope to share a room with Mr. / Ms____________________________________
Special meals:
_____I needn special meals ______I need special meals_________________
Date:________________________________________
Signature:___________________________________
Please return this Form to
Prof. Xibai QIU
Secretary of 17ICCE
c/o Chinese Chemical Society
PO Box 2709
Beijing 100080
China
Tel: +86-10-62568157, 62564020
Fax: +86-10-62568157
E-mail: [email protected]
By March 31, 2002
17th IUPAC INTERNATIONAL CONFERENCE
Secretariat use only Reg. No. |
ON CHEMICAL EDUCATION
August 6-10, 2002, Beijing, China
VISA APPLICATION FORM (FROM C)
Family Name First Name Middle Name
Name___________________________________________________________________
Sex ___Male ____Female
Birthday ____________________ Nationality _______________________________
Passport number____________________ Passport issued at__________________
Occupation & Institution_________________________________________________
Accompanying persons
Family Name First Name Sex Birthday Passport Number Nationality
1)_______________________________________________________________________
2)_______________________________________________________________________
3)_______________________________________________________________________
4)_______________________________________________________________________
At which Chinese Embassy or Consulate you wish to apply for visa
Date_______________ Country____________________ City_____________________
Where & when you wish to visit in China
Date City Host (Name & Unit) Address & Tel No.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Entry date, city and flight No._____________________________________________
Exit date, city and flight No._______________________________________________
17th IUPAC INTERNATIONAL CONFERENCE
Secretariat use only Reg. No. |
ON CHEMICAL EDUCATION
August 6-10, 2002, Beijing, China
CONFERENCE TOUR RESERVATION FORM (FROM D)
Please refer to the Second Circular for the details.
Type of tour |
Price/Person |
No. of Person |
Amount to be paid |
USD 870 |
USD |
USD | |
USD 990 |
USD |
USD | |
Total |
USD | ||
If less than 10 persons will join the tour,___ pay the additional fee ___ Change the tour ___Cancel the tour reservation
I plan to join following Local tour
Date &places |
Price/Person |
Number of Persons |
Amount to be Paid |
April 16(Tue) Afternoon Temple of Heaven |
USD 23 |
USD |
|
April 17(Wed) Morning Beihai Park & Jingshan Park |
USD 20 |
USD |
|
April 17(Wed) Afternoon Forbidden City |
USD 25 |
USD |
|
April 18(Thu) Morning Lamar Temple & Great Bell Temple |
USD 20 |
USD |
|
April 18(Thu) Afternoon Summer Palace |
USD 23 |
USD |
|
April 19(Fri) Morning Marco Polo Bridge & Great view Garden |
USD 23 |
USD |
|
April 19(Fri) Afternoon Liulichang & Friendship Store |
USD 15 |
USD |
|
April 20(Sat) Great Wall and Ming Tombs |
Free for registrants |
Free for registrants |
|
Total |
USD |
||
Please return this Form to:
Prof. Xibai QIU, Secretary of 17 ICCE
PO Box 2709, Beijing 100080, China
Tel: +86-10-62568157, 62564020
Fax: +86-10-62568157
E-mail: [email protected]
By June 30, 2002.