REGISTRATION FORM (MIWAI 2017)

Personal Information
Please fill in all information in capital letters.
Title / ☐ Mr. / ☐ Mrs. / ☐ Ms. / ☐ Prof. / ☐ Dr.
Surname / First Name
Passport No.
For international participants only / Affiliation or Organization
Address
Phone No. / Fax No.
Email Address
Paper Information
Only applied to registration of authors.
Paper’s ID
Paper’s Title
Paper’s ID
Additional Paper (If any)
Paper’s Title
Additional Paper (If any)
Payment Method
Payments can only be made via Telegraphic Transfer (TT).
Payments are required to be made in USD.
The following account detail is for your reference when you make your payment:
Account Name: / UniversitiTeknologi Brunei
Account No.: / 00-001-01-0045184
Bank Name: / Bank Islam Brunei Darussalam
Bank Branch: / MAIN - BSB
Address: / BIBD Headquarters,
Lot 159, JalanPemancha,
Bandar Seri Begawan, BS8711
Negara Brunei Darussalam
Swift Code: / BIBDBNBB
/ Registrants are responsible for paying any additional charges from the bank.
Once payment has been made, registration confirmation will be emailed to registrants.
Full payment must be received before registration is processed.
Fees will not be refunded in the event of registrants needing to cancel, change or refund their registration.
Registrants must email the complete registration form as well as a scanned copy of the bank slip or bank advice of telegraphic transfer form to:
, cc to: and
Registration Fee Option
Please tick ☑appropriate registration fee.
Early Bird
Before / On the stated date in the website. / Member of INNS, APNNS & IEEE-CIS
(USD) / Standard Fee (USD) / Unit / Amount
Regular papers / ☐ 300 / ☐ 350
Student papers / ☐ 170 / ☐ 200
Participants (No paper) / ☐ 50 / ☐ 100
Additional paper of the same registered author / ☐ 100 / ☐ 100
Extra page charge (per page) / ☐ 50 / ☐ 50
Total
Normal Payments
After the stated date in the website. / Member of INNS, APNNS & IEEE-CIS
(USD) / Standard Fee (USD) / Unit / Amount
Regular papers / ☐ 350 / ☐ 400
Student papers / ☐ 210 / ☐ 250
Participants (No paper) / ☐ 50 / ☐ 100
Additional paper of the same registered author / ☐ 150 / ☐ 150
Extra page charge (per page) / ☐ 50 / ☐ 50
Total
Check List
  • Submit camera ready via EasyChair
  • Submit copyright form via EasyChair
  • Pay registration fee through bank transfer
  • Submit your registration form and evidence of bank transfer by email to ;
  • Confirm that the title of your paper appear on the MIWAI site (under the programe page, please allow 5-8 working days)
  • Book your flight and hotel; please do not hesitate to contact us if you need help on local information or if this is the first time you visit Brunei.