REGISTRATION FORM

NATIONAL CONFERENCE ON HUMANITIES

AND SOCIAL SCIENCES
NACOSS

PERSONAL INFORMATION

Name: Mohammad Ali Husain Alshorman

Sex: Male / Female

Workplace Address: Master student in faculty of innovative design and technology,

Universiti Sultan Zainal Abidin

ZIP/Postcode: 21300 Country: Malaysia

Telephone number (with country code): 06199544483

Mobile phone number (with country code): 06199544483

E-mail address: mohammedabusanad@yahoo.com

Alternative e-mail address: alshormanabusanad@gmail.com

Your role in this conference (tick one only)

Presenter

Co-author

(co-author pays the rate of participant, unless presenting a different paper. Please fill another
form if you present more than one papers).

Participant

If you are a presenter, please continue with these questions: (co-author(s) no need to fill these
information, only the main author needs to do this)

Title of the paper presented (this will be the final title printed on your certificate, so please
write correctly)

The Effects of Innovation and Design Management on Business Performance: An

Empirical Evidence of Product Manufacturing Industries in Malaysia
Please write the details of the presenter and the co-authors. Please write correctly as this list
will be printed on the conference certificate.

(Full names of author(s), Designation, Faculty, University and Email)

Mohammad Alshorman1Master in Faculty of Innovative Design and Technology,

Universiti Sultan Zainal Abidin, (UniSZA), 21300. Kuala Terengganu, Malaysia
mohammedabusanad@yahoo.com

Dr. Mohd Hisham bin Omar2 in Faculty of Innovative Design and Technology,
(UniSZA), Kuala Terengganu 21300. hisham@unisza.edu.my +139391130

Marzuki bin Ibrahim3Associate. Professor. Universiti Teknologi MARA

(UiTM) Cawangan Kelantan 18500 Machang, Kelantan, Malaysia.
Drmarz2002@yahoo.com +6099762210

CONFERENCE FEES PAYMENT*

REGISTRATIONS FEES

Please tick the correct category:

Oral Presentation:

i) Presenter: RM 150

ii) Postgraduate students (presenter): RM 100

iii) Undergraduate students (presenter): RM 50

iv) Co-authors: RM100

v) Participants: RM30

FLAT RATE FOR ALL INTERNATIONAL PRESENTERS: USD 90

Poster Presentation:

i) Presenter: RM 100

ii) Postgraduate students (presenter): RM 80

iii) Co-authors: RM80

iv) Undergraduate students (presenter): RM 30

v) Co-authors: RM30
FLAT RATE FOR ALL INTERNATIONAL PRESENTERS: USD 80

Breakfast and Lunch (Optional)

i) Yes to Breakfast and Lunch provided by NACOSS

(please add RM25 in your conference fees. Make sure you get the breakfast and lunch coupon
in your conference kit on the conference day if you choose this option)

ii) No to Breakfast and Lunch provided by NACOSS

TOTAL OF FEES TO BE PAID: RM 100

For international participants who wish to pay on the conference day, please provide the
proof of ticket booking to secure your place in the conference.
If paying on the conference day, please do it by CASH and we cannot accept credit card,
cheque or other ways of payment methods.

REGISTRATION INCLUDES

1. Admission to the conference.

2. Attendance of all conference activities and keynote speech.
3. Present your accepted paper at the conference/Listen to all presentations. For
SCOPUS-indexed journal publications, the fess are borne by the authors and not
included in the conference registration fees.
4. Free flow coffee and snacks. Please add RM25 (USD 10 for international presenters)
if you choose to have breakfast and lunch provided by the organiser.
5. Conference proceeding in CD.
6. Possibility for the full papers to be published in the journals the AID Conference is
collaborating.

The registration does not include:

Meals. Meal (breakfast and lunch is optional to all delegates). Please add RM25 (USD 10) if
you choose food to be provided by us.

BANK ACCOUNT INFORMATION

Bank in the conference fees to AMBANK. Account number: 8881015953526

Swift Code (for international participants only): ARBKMYKL

Name of Beneficiary: Aid Conference

Email the proof of payment together with the registration form to

myaidconference@gmail.com
CANCELLATION POLICY
No refund is issued. For any emergency cases, presenters can always have a representative to
present the paper orally or by providing a representative to present on behalf of the group.

ACCOMMODATION arrangements are to be made by the conference delegates.