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Gender*
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Title*
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First name*
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Family name*
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Position*
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Department
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Faculty/School
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Institute | University | Organisation*
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Mailing address*
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City*
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Zip code
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State
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Country*
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Telephone*
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Email*
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Internet
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Abstract Thematic poster session
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Abstract (will be) submitted |
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Proposal for Mini-workshop
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Proposal (will be) submitted |
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Proposal for Didactic session
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Proposal (will be) submitted |
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Special food requirements
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I am also registering for: |
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Pre-conference workshop on Saturday November 13 |
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I am also registering for:
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The post-conference excursion to B.P. Koirala Institute of Health Sciences in Dharan, from November 18 - 20 (information available at: http://www.the-networktufh.org/conference/programme.asp)
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Accompanying person
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I will bring an Accompanying person to the main conference in Kathmandu, Nepal
I will bring an Accompanying person to the post-conference excursion to B.P. Koirala Institute of Health Sciences in Dharan, from November 18 - 20.
Accompanying persons may not attend the conference sessions and workshops!
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Sponsoring a conference attendee
We invite you to make a donation toward sponsoring conference attandees from developing countries
(Check only ONE box)
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$5
$10
$15
$25
$50
$100
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Payment details
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| Members of The Network: TUFH
Conference registration fee: US$ 550 before June 1
Conference registration fee: US$ 600 after June 1
Pre-conference workshop fee: US$ 100
Post-conference excursion fee: US$ 120
Non-members of The Network: TUFH
Conference registration fee: US$ 600 before June 1
Conference registration fee: US$ 650 after June 1
Pre-conference workshop fee: US$ 100
Post-conference excursion fee: US$ 120
Staff participants from Nepal
Conference registration fee: US$ 200 (NPR 15.000) before June 1
Conference registration fee: US$ 250 (NPR 17.500) after June 1
Partial registration fee: US$ 150 (NPR 12.500) before June 1
Partial registration fee: US$ 200 (NPR 15.000) after June 1
Pre-conference workshop fee: US$ 50 (NPR 3.500)
Post-conference excursion fee: US$ 120 (NPR 8.500)
Student participants from Nepal
Conference registration fee: US$ 150 (NPR 10.000)
Partial registration fee: US$ 100 (NPR 7.000)
Pre-conference workshop fee: US$ 50 (3.500 NPR)
Post-conference excursion fee: US$ 50 (3.500 NPR)
Staff participants from SAARC Countries
Conference registration fee: US$ 300 before June 1
Conference registration fee: US$ 350 after June 1
Partial registration fee: US$ 200 before June 1
Partial registration fee: US$ 250 after June 1
Pre-conference workshop fee: US$ 50
Post-conference excursion fee: US$ 120
Student participants from SAARC Countries
Conference registration fee: US$ 150
Partial registration fee: US$ 100
Pre-conference workshop fee: US$ 50
Post-conference excursion fee: US$ 50
Students
Conference registration fee (undergraduate): US$ 250
Conference registration fee (postgraduate): US$ 400
Pre-conference workshop fee: US$ 50
Post-conference excursion fee: US$ 50
Accompanying persons
Main conference programme fee: US$ 225
Post-conference excursion fee: US$ 120
Hotel deposit
US$ 150 or a credit card to guarantee the booking
Nepalese participants can pay their hotel deposit in the local currency (NPR 10.000)
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Credit Card details will follow by fax. (click here to download the form)
Currency exchange differences may incur additional charges. An additional 5% processing fee will be added.
Bank transfer
Account no. 46.47.45.497, ABN-AMRO Bank,
Avenue Ceramique 27, 6221 KV Maastricht, The Netherlands.
BIC code: ABNANL2A / IBAN: NL22 ABNA 0464 7454 97
Please indicate
1) your name;
2) 2010 Network: TUFH conference - Nepal;
3) without costs for the receiver
Bank charges are applicable.
Cheque
Preferably drawn on a Dutch Bank to the attention of the 2010 Network: TUFH Conference - Nepal.
Pls. use only 1 cheque for registration + hotel deposit.
Bank charges of US$ 17 are applicable.
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Accommodation |
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Participants/Accompanying persons can stay in one of the below mentioned accommodations. Accommodation requests will be handled on a first come-first serve basis. Reservations can only be made after receipt of your hotel deposit and arrival/departure date.
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Arrival date
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November 2010
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Departure date
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November 2010
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Type of room
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Name roommate
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| My roommate is |
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Accommodation in Kathmandu (main conference)
In case not otherwise indicated, the rates are per room, per night, including breakfast and taxes. |
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Soaltee Crown Plaza (Conference Venue)
Single room: US$ 115
Double room: US$ 120
Rates do not include 10% service charge and 13%VAT.
http://www.crowneplaza.com/
Grand Hotel
Single room: US$ 40
Double room: US$ 45
Rates do not include 10% service charge and 13%VAT.
http://www.grandhotelnepal.com
Kathmandu Guest House
Single room: US$ 30 - US$ 35
Double room: US$ 40 - US$ 45
Rates do not include 10% service charge and 13%VAT.
http://www.ktmgh.com/
Hotel Holy Himalaya
Single room: US$ 20,40 - US$ 29,40
Double room: US$ 26,40 - US$ 41,40
Rates do not include 10% service charge and 13%VAT.
http://www.holyhimalaya.com/
Own accommodation
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