FACULTY MEMBERS
REGISTRATION
Faculty Registration Information
Please enter your name as shown in your passport.
Only names in English alphabets are allowed.
For accompanying spouse, please complete details under ADULT 2 and accommodation type will be Twin Sharing room.
Airport transfers to and from Penang International Airport to venue hotel shall be arranged on confirmation of your flight tickets.
Adult 1
Title
*
(Dr. Mr / Mrs / Mdm / Ms)
First Name / Middle name / Last Name
*
Passport No / ID No
*
Date of Birth
*
(DD / MMM / YYYY)
Nationality
*
EMAIL ID
*
ALTERNATE EMAIL ID
TELEPHONE CONTACT NO
*
Adult 2
Title
(Dr. Mr / Mrs / Mdm / Ms)
First Name / Middle name / Last Name
Passport No / ID No
Date of Birth
(DD / MMM / YYYY)
Nationality
EMAIL ID
ALTERNATE EMAIL ID
TELEPHONE CONTACT NO
Accommodation details
SELECTED RESIDENTIAL PACKAGE
4 DAYS / 3 NIGHTS
5 DAYS / 4 NIGHTS
ROOM TYPE
DELUXE
ROOM CATEGORY
TWIN SHARE
SINGLE
NO OF GUEST/(S)
CHECK IN DATE
CHECK OUT DATE
NO of ADDITIONAL NIGHTS
(Chargeable if required)
DATES REQUIRED FOR ADDITIONAL NIGHTS
(PRE OR POST CONFERENCE DATES) Please state here the required dates
Submit
All rooms are subject to room availability.
Check-in time for most hotels is at
1400 hrs
and check-out time is
1200 hrs
.
For late Check-Out, please liaise with the Front Desk / Reception.
