13th UTM University Presidents Forum 2023 “Innovating Solutions : Expanding Horizons” REGISTRATION FORM UPF 2023 All delegates are required to fill in the registration form for our records and programme coordination purposes. The registration fee for UTM-UPF 2023 are as below [Deadline: 20 July 2023]: - Standard Fee: USD300/per pax - In-Group (3 pax): USD800/per group (Each delegate needs to register individually) - In-Group (5 pax): USD1400/per group (Each delegate needs to register individually) - 6th delegate and above: USD250/per pax Email Address * SECTION A (PERSONAL DETAILS) Please fill in the form below for our record purposes. FULL NAME WITH DESIGNATION * GENDER * Male Female JOB TITLE * DEPARTMENT * NAME OF INSTITUTION * COUNTRY * MOBILE NUMBER * DIETARY REQUIREMENTS * NAME OF CONTACT PERSON * MOBILE NUMBER OF CONTACT PERSON * EMAIL OF CONTACT PERSON * SECTION B (REGISTRATION FEE) FEE PAYMENT (inclusive with forum kit, meals during programme, welcoming dinner, networking sessions, airport transfer and excursion to UTM Johor Bahru campus.) Are you ATU-Net member? * Yes No **Note: To find the list of ATU-Net members, visit https://atunet.org/membership/institutions/ Are you from Malaysian Institution? * Yes No Fee Payment * Standard Fee : USD300/per pax In-Group (3 pax) : USD800/per group In-Group (5 pax) : USD 1400/per group 6th delegate and above : USD250/per pax ATU-Net: USD250 * Malaysian Institution: RM1000 * Fees Payment upon registration or 20th July 2023 For INTERNATIONAL participants, registration fee payment via Flywire, >> PAY HERE << Important : Please first convert the fees amount to Malaysia Ringgit at https://www.bnm.gov.my/currency-converter before making your payment via Flywire For MALAYSIAN participants, registration fee payment via E-Commerce, >> PAY HERE << Conference Code: UTM UPF 2023 For other payment methods, click HERE IMPORTANT NOTE: * Invoice will be issued upon request. Payment of fee registration is required prior to the event and can be made using Flywire. * Please provide proof of payment during registration for our further action. Payment receipts can be collected on the same day at the registration counter. * 50% of the fee will be refundable if cancellation is made within 30 working days prior to the event, and there is no refund if cancellation is made less than 14 working days prior to the event. Proof of Payment Please upload your proof of payment here Choose File Maximum file size: 5.12MB SECTION C (PROGRAM DETAILS) Please complete this section for our coordination purposes FULL FORUM SESSION FOR UPF 2023 (9 - 10 August 2023) OPTIONAL SESSION **Please tick your attendance in optional session above for our record purposes. Welcoming & Networking Dinner - 8 August 2023 (20:00 - 22:00) Yes No Johor Bahru City Tour - 9 August 2023 (17:00 - 20:00) Yes No Excursion to UTM Campus / Labs - 10 August 2023 (14:00 - 17:00) Yes No SECTION D (LOGISTIC) AIRPORT TRANSFER * Required Not required Airport transfer will be provided to all participant from/to Senai Airport, Johor Bahru, Johor to/from official hotel (KSL Hotel & Resort) only. For airport transfer, please email to us the details of the arrival and departure of delegate to firstname.lastname@example.org (Subject: UPF Airport Transfer) before 20 July 2023. The required documents are as below: - Flight itinerary (arrival & departure time) - Please inform the secretariat if you bring accompanying person. *Kindly note that airport transfer are provided from and to Senai Airport only. fwfwfwdw ACCOMMODATION For accommodation, the official venue of UTM-UPF2023 will be at KSL Hotel & Resort, Johor Bahru. All delegates are encouraged to stay at this hotel or you may also stay at other preferable hotels near the venue. It is advisable for you to make the hotel arrangement on your own. Nevertheless, if you wish to stay other than KSL Hotel & Resorts, the ground transportation is under self-arrangement. *Other accommodations can also be found on Booking.com or Agoda.com for more choices.*Please check the hotel rates, conditions, and location from the hotel website before making an online reservation. If you are human, leave this field blank.