4th Annual International Conference on TESOL:

English Language Learning: A Focus on the Learner

29-31 August, 2013

SEAMEO RETRAC, Ho Chi Minh City, Vietnam

35 Le Thanh Ton Street, District 1, Ho Chi Minh City, Vietnam

REGISTRATION FORM

Register online at http://www.vnseameo.org/TESOLConference2013/ or return FORM to:
SEAMEO Regional Training Center.

35, Le Thanh Ton Str., District 1, Ho Chi Minh City, Vietnam

Please complete one form for each registrant • PLEASE USE BLOCK LETTERS

I. PERSONAL DETAILS

Title (Prof./Dr./Mr./Ms.):

First name: Last name:

Nationality: ………………………………………………………………………………………………………………..

Passport Number: ………………………………………………………………………………………………………

Designation/Position:

Organization:

Address:

Country:

Contact information:

Tel:

Fax:

Email:

Special dietary requirements, if any:

If you are accompanied by spouse/relatives, please provide information:

Title (Prof./Dr./Mr./Ms.):

First name: Last name:

Designation/Position:

Organization:

Nationality:

Passport Number:

II. DETAILS FOR VISA APPLICATION: Please fill out the other attached information form if you request assistance in visa application

III. INTERNATIONAL CONFERENCE REGISTRATION INFORMATION

1.  Registration fee:

The registration fees are as follows (other than Vietnamese citizens):
Early Bird registration (Before July 1 2013) USD 100
Regular registration USD 120
The registration fees for Vietnamese citizens are as follows:
Early Bird registration (Before July 1 2013) VND700,000
Regular registration VND800,000

2.  Paper submission

a.  Abstract submission: by 30 May 2013

b.  Full paper submission: by 20 July 2013

IV. METHOD OF PAYMENT

We accept your payment by bank transfer. Please note that bank fee charge may apply (any bank charge must be borne by the applicants). Our bank account details are as follows:

For foreign participants:

Account No : 007.1.00.007 849.0

Account name : TRUNG TAM DAO TAO KHU VUC CUA SEAMEO TAI VIET NAM.

Bank name : Vietcombank, HCMC Branch, Trading Office No 5

Bank address : No 8 Nguyen Hue , District 1, HCMC, Viet Nam.

SWIFT code : BFTVVNVX 007

For Vietnamese participants:

Tên tài khoản : TRUNG TÂM ĐÀO TẠO KHU VỰC CỦA SEAMEO TẠI VIỆT NAM

Địa chỉ : 35 Lê Thánh Tôn – Quận 1 – TP Hồ Chí Minh

Số tài khoản : 007.1.00.007.849.0

Tên Ngân Hàng : Ngân Hàng TMCP Ngoại Thương Viet Nam (Vietcombank) - Chi Nhánh TP Hồ Chí Minh

SWIFT code : BFTVVNVX007

Note: Please confirm us via mail/email or phone once you transfer money to our bank account.

Please confirm us your participation by 15 July and feel free to contact us for further information via the following address:

Ms Mai Huong Duong
Conference Coordinator
Tel: (84-8) 3 8245618 (Ext: 149)
Fax: (84-8) 3 8232175
Email:

Website: http://www.vnseameo.org/TESOLConference2013/