Registration Form

Workshop on Sustainable Manufacturing

on 17th December 2016 at Earl’s Regency, Kandy

1.  Title (Prof/Dr/Mr/Mrs/Ms):

2.  Name with initials:

3.  Name to appear in conference name tag:

4.  Affiliation:

5.  Contact No:

6.  Email Address:

7.  Have you registered to the 7th ICSBE:

(Note: Those who are registered to the ICSBE Conference can participates for the event free of charge)

Date:

*** Completed applications should be sent with the scanned copy of Bank payment slip. Email: .

Account Details:

Account No / : 057-1001-3001-5231 / Account No / : 005160000114
Account Name / : ICSBE / Account Name / : ICSBE
Bank / : People`s Bank, Peradeniya / Bank / : Sampath Bank. , Peradeniya
Swift Code / : PSBKLKLX / Swift Code / : BSAMLKLX