Participants Information

Title	:
First Name	:
Last Name	:
Name to appear on badge	:
Job Title	:
Organization	:
Address	:
	:
Phone	:
Email	:

Registration Fee:

Standard rate: 30,000 THB

Early bird: 25,000 THB

  ( Early-bird registration fees must be paid before
  or on 17 April 2017 where as Standard registration
  fees must be paid before or on 17 May 2017
  by cheque or wire transfer payment. )

Accommodation

None

Cancellation of registration

If you wish to cancel your registration please send a request to training@interlab.ait.ac.th by stating your registration details within 7 working days before the training day. A cancellation fee (THB 3,000) is applicable. If you are unable to attend you can nominate a substitute.

Method of Payment

Payments must be remitted in Thai Baht only. In case you have difficulties to issue a draft in Thai Baht, you may send a draft in a major currency, but please add $20 (or equivalent) to cover exchange rates and bank charges. Please note this is the least preferable option.

Check and draft are to be made to the name of Asian Institute of Technology

Bank draft (in Thai Baht only)

To complete payment by bank draft, please ensure that the draft is written in Thai Bahts and it is payable to 'Asian Institute of Technology'. The bank draft should be sent to the following address, stating your registration details such as name, organization and contact details (postal and e-mail address, telephone and fax numbers).

Ms. Sweet Mae Monteclaro
Assistant Program Officer
Internet Education and Research Laboratory (intERLab)
Asian Institute of Technology
P.O.Box 4, Klong Luang, Pathumthani 12120
THAILAND

Wire transfer

To complete payment by wire transfer to 'Asian Institute of Technology' please use the following account information;

Bank name : Siam Commercial Bank Co., Ltd.
Branch : Thammasat University Hospital
Bank address : Thammasat University Hospital 95 Moo 8, Khlongnueng, Khlongluang, Pathumthani 12120 Thailand
Account type : Current
Account details : 468-046301-2
Account name : Asian Institute of Technology
Swift Code : SICOTHBK

Please scan the details of the wire transfer and should be sent to Ms. Sweet Mae Monteclaro email address monteclaro@ait.ac.th stating your registration details such as name, organization and contact details (postal and e-mail address, telephone and fax numbers). An email will be sent confirming receipt of your payment.

Credit Card

The credit card information are needed to be faxed to the organizer. The form will be provided after submission.