16th Malaysian Chemical Congress (16MCC) 2010 Registration Form

I would like to register for 16MCC 2010.

Salutation : *
Name : *
Affiliation : *
Address : *
 
 
Postcode : *
City : *
State : *
Country : *
Telephone : *
Fax :
Email : *


I would like to submit an abstract entitled :
 
for     Oral     or      Poster     in the area of : (please choose from below)
 
Inorganic and Bioinorganic Chemistry (IBC)
Organic and Biomolecular Chemistry (OBC)
Physical, Theoretical and Computational Chemistry (PTC)
Environmental and Green Chemistry (EGC)
Food and Medicinal Chemistry (FMC)
Materials and Polymer Chemistry (MPC)
 
Abstract attached :
 
Deadline for submission of abstracts is June 30th July 31st, 2010. Please submit abstract via email (if not uploaded) as an attached word document to the 16MCC Secretariat.


Please select registrant type : *
 
Registrant type
Registration Fees
Early Bird
(before 31st August 2010)
(before 11th September 2010)
Registration Fees
(Regular)
IKM/ASM/UM/UKM/USM/UTM/JKM/RSC/Member/Staff
RM 650
RM 750
Others
RM 800
RM 900
Postgraduates (full-time)
RM 450
RM 550
Oversea - Others
USD 300
USD 350
Oversea - Postgraduates (full-time)
USD 200
USD 250

Note: Payment may be made by direct bank transfer into the following account:
Name of Account :
Institut Kima Malaysia
A/C No. :
3127 731017
Name of Bank :
Public Bank Berhad
Swift Code :
PBB EMYKL
Address :
66, 68 & 70, Jalan Burhanuddin Helmi, Taman Tun Dr. Ismail, 60000 Kuala Lumpur, Malaysia


I hereby declare that the information furnished above is true to the best of my knowledge.
 
 
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