R E G I S T R A T I O N F O R M

Note:

Register online at www.ibc2017.cn or return this form to the following address:

IBC2017, Chengguan Building, Lianhua Branch Road 1004, Futian District, Shenzhen, China

Tel: +86(0)755 8307 3632 · Fax: +86(0)755 8307 3860 · Email:

Please complete one form for each registrant. Print clearly and retain a copy for your records.

Section 1 Personal Details

Surname* / Given name*
Title*
(Prof./Dr./Mr./Mrs./Ms.) / Gender*
(Male/Female)
Institution/Company*
Address Line 1*
Address Line 2
Town/City* / County/Province/State
Country/Region* / Zip/Postcode*
Tel* / Fax
Email*
Meal Requirements* /
Wheelchair Service /

Accompanying Person ( four at most)

Full Name*
Institution*
Gender*
(Male/Female) / Relationship(s)*

*= Compulsory Field

Section 2 Registration Fees

All fees are in Chinese Yuan (CNY) and are inclusive of 6% GST.

Early Bird Rate
(on or before March 15, 2017) / Standard Rate
(from March 16 to June 15, 2017) / Onsite Rate
(from June 16, 2017)
Delegates / ￥1,800 / ￥2,200 / ￥2,800
Students* / ￥900 / ￥1,100 / ￥1,400
One Day Registration
/ ￥800 / ￥1,000 / ￥1,200
Accompanying Person / ￥800 / ￥1,000 / ￥1,200

*You must provide a copy of your student identification card or a letter of confirmation of your student status signed by the head of your department.

REGISTRATION FEES SUBTOTAL: CNY

Section 3 Reservation

Please indicate your order at all inclusive reservation
/
Cost Per Person
/
No. of Tickets
/
Total Cost (CNY)
Wednesday, 26 July 2017
Congress Gala Dinner – The Beauty of Nature
All Person
/
CNY 500/person
/ / /
23-29 July 2017 Lunch Box CNY 50/box
Date / Box Number / Total Cost (CNY)
23, July
24 July
25, July
26, July
27, July
28, July
29, July
Printed Congress Abstract Book / CNY 200/book
RESERVATION SUBTOTAL: CNY

Section 4 Abstract Submission

Abstract Guidelines

1. Please send your abstract with the registration form as an attachment to . We will help you to submit the abstract according to the registration information. Once the abstract is accepted, we will send you an invitation letter.

2. The abstract submission requires participants to select appropriate presentation types, corresponding symposiums, and themes. Please see the list of symposia and themes to choose the most appropriate one, only filling in numbers. Congress sessions allow oral presenters to select three symposia, either of the same or different themes (in no particular order); poster presenters can choose one symposium.

List of Seminars

Abstract submissions require indication of the presenting author. Please fill out the Presenting Author form below.

Presentation Type*

Theme No.* /
Symposium No. *

Presenting Author (choose one from all the Authors)

Title*
(Prof./Dr./Mr./Mrs./Ms.)
Full Name*

Section 5 Visa Application

Visa Application Information

Embassy/Consulate*
Entry Date*
Arrival Time*

Name and Passport Information

Full Name* / Passport No.*
Passport Name* / Nationality*
Date of Birth*

Delegate：

Accompanying Person(s) (four at most )：

Full Name* / Passport No.*
Passport Name* / Nationality*
Date of Birth*
Full Name* / Passport No.*
Passport Name* / Nationality*
Date of Birth*
Full Name* / Passport No.*
Passport Name* / Nationality*
Date of Birth*
Full Name* / Passport No.*
Passport Name* / Nationality*
Date of Birth*

Section 6 Summary of Payments

Section 2 / Registration Fees CNY
Section 3 / Reservation Fees CNY
TOTAL PAYMENT ENCLOSED CNY

Payment

All prices are quoted in Chinese Yuan (CNY). Payment must accompany your registration form. Congress registration cannot be confirmed until payment is received.

Credit Card – charges as per this form are to be debited to:

Credit card number*
Card holder’s name* / Expiration date / /
Card holder’s signature*

OR

China Union Pay card

Bank *
Bank Account *
Card Holder’s Name*

OR

Bank Transfer

Beneficiary: CICCST
Beneficiary Bank: Bank of China, Head Office
Account No.: 778350014159
Swift Code: BKCHCNBJ
Address: 1 Fuxingmen Nei Dajie, Beijing 100818, China
*Please indicated "IBC2017" along with the participant's name in the space for ‘Message.’
*All bank charges will be borne by the participant.
Please email or fax the transfer receipt (remittance) +(86)-755-83073680.