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PCT-5 Registration Form
Please complete the form below * require
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Title:  Mr.    Mrs.    Ms.  Prof.    Assoc. Prof.    Asst. Prof.    Dr.  *

First Name:    *

Last Name:    *

Gender:  Male    Female  *

E-mail:    *

Phone:    *

Organization:    *

Address:    *

City:    *

Zip Code: 

Country: 

Status:  Student    Lecturer    Researcher

Other (please specify)    *

Type of registration:  (please choose one of these options)  *

Industry

4,200 BHT

2,100 BHT  (one day, please select day)

June18, 2015                   June 19, 2015  *

Governmental Organization/University/School

3,700 BHT

1,850 BHT  (one days, please select day)

June 18, 2015                   June 19, 2015  *

Student

3,200 BHT

Do you submit abstract or full paper:  *

Yes    No

If submit abstract or full paper, please fill the following:

DEADLINE FOR ARTICLE SUBMISSIONS: May 8, 2015

Presentation Title:    *

The person who submits the abstract/ full paper must be also the speaker of this title.

Session:  (please choose one of these sessions*

  Biomedical and Environment-Friendly Polymers

  Advanced Polymer Characterization

  Advances in Polymer Processing

  Smart and Intelligent Polymers

  Polymer Composites and Nanocomposites

  Natural and Synthetic Rubbers

Type of presentation:  *

Oral presentation    Poster presentation

Do you applicant supporting grant in PCT-5?

Yes    No

Upload abstract or full paper:  (word file only)  *


  

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