Registration form for BME HUST 2016-The Third International Conference on Biomedical Engineering, Oct 5-6, Hanoi, Vietnam (for first author registration only)

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Submission/paper number (provided by EasyChair) *

Paper title *

Full name *

Email *

Phone

Institution/Affiliation * *

Title *

Prof/PhD/PhD student

Master/Undergraduate student

Are you a IEEE member? *

Yes

Additional pages (from page 7) (1) *

Number of extra printed proceedings + bag *

Number of extra USB proceedings + bag *

Total fee (in USD or VND-calculated by yourself) *

NOTE

*, ** If your institution/affiliation is not in Vietnam, you need to pay fee as a foreigner

1. Fee for registration and other items, please visit Registration page at http://bme-hust.org
2. Any transfer fees are paid by sender.
3. Complete this form and pay before Sep 9, 2016
4. When transfer money, please use "Registration fee for BME HUST 2016 conference, #Paper number" at remark.
5. BME HUST account information :
Bank name: JOINT STOCK COMMERCIAL BANK FOR INVESMENT AND DEVELOPMENT OF VIETNAM
Branch: HA THANH BRANCH
SWIFT/BIC code: BIDVVNVX122
Account's number: 1221 0001 012440
Account's name: Nguyen Thai Ha

Address of recipient: 418-C9- Hanoi University of Science and Technology, Hanoi, Vietnam
Post Code or Zip Code : 10000
Phone Number : +84904277585

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