Registration Form

5th International Conference on Estuaries and Coasts (ICEC 2015)

Muscat, November 2-4, 2015

Personal Information
Name

TITLE

Phone

HOME

FIRST NAME

LAST NAME
MOBILE

OFFICE

E-MAIL

Paper

NO:

TITLE:

Business Information
Job Title

Job title

Department

Organization

Organizatio
n

AREA & STREET

Address

P.O. Box

TOWN

CITY

COUNTRY

Payment Information
The registration fee is as shown below (Please select the appropriate box):
Conference Registration (Before July 31, 2015) : US$ 350 ( IAHR member: US$ 280)*
Conference Registration (After July 31, 2015) : US$ 450 ( IAHR member: US$ 360)*
Short Course No. 1: Smoothed Particle Hydrodynamics (Nov. 1, 2015) : US$ 100
Short Course No. 2: MOHID Water Modeling Suite (Nov. 5, 2015)
Total payable: US$:

: US$ 100

________________

* IAHR membership number:

__________________________

Cost Includes: Proceedings, lunch, refreshments, conference dinner and a Certificate of Participation.

Please choose one of the two payment methods below:

Bank (Wire) Transfer Method

Draft Cheque Method (For residents of OMAN

only)

Make a Bank (Wire) transfer using the details below:

Prepare a Draft Cheque payable to

SULTAN QABOOS UNIVERSITY- ICEC 2015

SULTAN QABOOS UNIVERSITY ICEC 2015

Current A/C 304008090500012

Send your Draft Cheque by mail/ courier (preferred) to the

following address:

Swift Code= BMUS OMRXXXX

Bank: Bank Muscat
Branch: SQU
Please scan your receipt and send it by email, along
with this duly completed registration form, to ICEC
2015 Registration (icec5th@gmail.com, Tel: +96824141331), SQU, Muscat, Oman.

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ICEC 2015 Registration, Sultan Qaboos University, College

of Engineering, PO Box 33 , Al-Khod, PC 123, Muscat,
Sultanate of Oman
Please send this form duly completed along with the

Registration Form
5th International Conference on Estuaries and Coasts (ICEC 2015)
Muscat, November 2-4, 2015
Personal Information
Name

TITLE

FIRST NAME

LAST NAME

You can also fax the same to +968-24413416.

Cheque and fax or email it to:

Fax:

+968-24413416

Email to: icec5th@gmail.com

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