Conference Registration Form
ICIT 2005
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Family Name: …………………….….….… |
First Name: …………………………..….… |
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Affiliation: ……….……………….….….… |
Title: ………………..………………..…..… |
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Field of Specialization: ………………………………………………………………………………………. |
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Country: ………………………………….… |
Passport No.: ……………………………… |
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Name of Additional Occupants: ……………………………………………………………… |
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Mailing Address: ……………………………………………………………………………… |
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Tel: ……………………..………………….. |
Fax: …………………………………..…….. |
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E-mail: …………………………………….…………………………………………….….…. |
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Arrival Date & Time: ……………………………………………………………………..….. |
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Departure Date & Time: ……………………………………………………………………… |
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Airline: ………………………….………… |
Flight No.: …………………………….…… |
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Remarks: ……………………………………………………………………………….…..….. |
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If presenting a paper, then fill the following:
Paper No.: ………………………………………………………………………………………….
Paper Title: …………………………………………………………………………………………
All accepted papers must be personally presented by the authors.
Authors are required to register by April 10, 2005. The Final camera-ready paper and completed registration form must be received at the ICIT 2005 Program Chair by10/4/2005 for the paper to be published in the proceedings.
Date: …………………………….………………….. Signature: ……………………………..….…………………...
please fill and send this
form to : aldahoud@alzaytoonah.edu.jo