Online Registration

Personal Particular
Kindly fill in ALL fields for submission. You need to have your payment details before completing this form.
Salutation  
Family Name  
Given Name  
Name To Be Printed On
Certificate/Name Tag
 
 
Institution  
Department  
Address  
 
City/State  
Country  
Zip/Postal Code  
Phone    
E-mail Address  
Confirm E-mail Address  
Dietary Preference        
   
Abstract Presentation (for those who submitted an abstract for this conference)
Abstract ID (e.g. ABS1234):
Are you the presenter (if accepted):      
Note: Acceptance of abstract will be informed through email address that stated on the Abstract Submission Form.
 
Registration Details
Main Conference (17 to 18 January 2019)
Early Bird Registration S$ 450
Early Bird Registration@Student rate*    
Normal Registration    
Normal Registration@Student Rate*    
 
*Please email a copy of your student identification to eafons@nus.edu.sg / (65) 6776 7135, attn Mrs Elaine Lee. The original shall be present at onsite conference registration.
 
Optional
Cultural Night Programme (17 January 2019) S$ 100
 
  Total Payable Amount  S$ 450
 
Payments
  By Credit Card (online payment)
  By Bankdraft/Cheque
From Overseas: Bank Drafts should be made payable to 'National University of Singapore'
From Local: Cheques should be made payable to 'National University of Singapore'
  On the reverse of the cheque, please write
(1) Name
(2) Contact Number and
(3) Registration ID (via system upon submission)
(4) EAFONS Conference
  Please post bank draft/cheque to:
 
Mrs Elaine Lee
22nd EAFONS Conference
Alice Lee Centre for Nursing Studies
National University of Singapore
Level 2, Clinical Research Centre, Block MD11
10 Medical Drive
Singapore 117597
  Please indicate your payment details below:
 
Name of Payer:  
Name of Bank:  
Bank Draft/Cheque No.:  
   
  By Invoice (for participants who are sponsored by a local (Singapore) institution/company)
Invoice will be billed.
 
Attention Person:
Billing Address:
Email Address:  
Contact no:  
 
CANCELLATION POLICY
Any cancellation or replacement must be conveyed to Mrs Elaine Lee at eafons@nus.edu.sg. A cancellation charge of 50% fee will be levied if the cancellation is received on or before 7 December 2018. There will be no fee refund if the cancellation is received after 7 December 2018.