registration form - Institute of Chemical & Engineering Sciences - A ...

REGISTRATION – 2 Easy Ways to Register!!
MAIL or FAX to:
Crystallisation and Particle Science Group
Institute of Chemical and Engineering Sciences
1 Pesek Road
Jurong Island
Singapore 627833
Fax: (65)6316 6183
Enquiries:
Website:
Fee:
Please contact Ms Hanani for more information at
Tel: (65) 6796 3848
E-mail: CPS2006@ices.a-star.edu.sg
http://www.ices.a-star.edu.sg/CPSsymposium2006/
SGD 400 (GST exempted) for industry participants EARLY BIRDS!**
SGD 450 (GST exempted) for industry participants
SGD 200 (GST exempted) for academic participants EARLY BIRDS!**
SGD 250 (GST exempted) for academic participants
SGD 125 (GST exempted) for student participants
Industries may wish to indicate interest to sponsor a student for the
symposium at a student fee of SGD 125. Sponsorship will be duly
acknowledged.
Academic participants who are teaching staff at academic institutions may
bring along 1 student at NO ADDITIONAL COST!
* Registration fee includes tea breaks and lunches on both days as well as
all symposium materials
Payment:
Refunds:
Payment is required prior to the symposium. Crossed cheques should be
made payable to “Institute of Chemical and Engineering Sciences” and
mailed together with the registration form to the above address.
A 50% refund will be made for withdrawals (received in writing) 3 working
days before the commencement of the symposium. No refunds will be made
thereafter. However, a replacement will be accepted upon prior arrangement
at no extra cost. Please inform us of the changes, if any, by fax or email.
The Institute of Chemical and Engineering Sciences reserves the right to
cancel the symposium and fully refund the participants, should unforeseen
circumstances warrant it. Every effort will be made to inform participants of
any changes.
Closing Date: 28 th Sep 2006
Venue:
The symposium will be held in Exploration Theatre, Level 4, Matrix, Biopolis.
Biopolis is easily accessible by car and public transport. Free shuttle buses
are available between Buona Vista MRT and the various buildings in Biopolis.
For detailed directions to Biopolis, please refer to
http://www.a-star.edu.sg/astar/about/action/location_details.do
** To enjoy the Early Bird discount, the registration forms must be received by 14 th Sep 2006.

REGISTRATION FORM
Exploiting Emerging Formulation Sciences Technologies for
Pharmaceutical & Fine Chemicals Manufacturing
12-13 October 2006
Registration Fee * :
• Industry participants : SGD 400 (GST exempted) EARLY BIRDS!
• Industry participants : SGD 450 (GST exempted)
• Academic participants : SGD 200 (GST exempted) EARLY BIRDS!
• Academic participants : SGD 250 (GST exempted)
• Students : SGD 125 (GST exempted)
Name of Participant: Dr/Mr/Mrs/Ms:
(Attach your name card, if any)
______________________________________________________________________
Designation:
______________________________________________________________________
Name of Organisation:
______________________________________________________________________
Address:
______________________________________________________________________
______________________________________________________________________
Contact Person:
______________________________________________________________________
Email:
______________________________________________________________________
Tel No (Office):
Fax No:
______________________________________________________________________
Number of students your company is willing to sponsor:
______________________________________________________________________
Dietary Preference: Chinese/Halal/Vegetarian
Payment mode:
Cheque/ Bank draft No: ___________________________________________________
Payable to “Institute of Chemical and Engineering Sciences”
Closing Date:
Please send in your registration form together with your payment
by 28 th Sep 2006.
Authorised Signature:
Company Stamp: _________________________________________________________
Mailing Address:
Institute of Chemical and Engineering Sciences
1 Pesek Road
Jurong Island
Singapore 627833
Mainline: (65) 6796 3700
DID: 6796 3848 (Ms Hanani)
Fax: (65) 6316 6183
* Registration fee includes tea breaks and lunches on both days as well as all symposium
materials
** To enjoy the Early Bird discount, the registration forms must be received by 14 th Sep 2006.