CITA 19 Workshop Registration Form
Title  :
Full Name  :
Organization  :
Address  :
Postcode  :
City  :
State  :
Telephone (Mobile)  :
Email  :
Food Preferences  :  
Payment Method  :

Workshop Fee

  MYR 500   

  USD 120

Payments can be made payable to:  
Account number:  2-11128-5000150-5
Purpose: CITA’19
Institution: Universiti Malaysia Sarawak
Account Type: Current Account
Bank: RHB Bank              
Bank Address: Cawangan Unisquare, Sublot 12 & 1,Unisquare Commercial Centre, 94300 Kota Samarahan
Swift code:  RHBBMYKL

Please mail the transaction slip or bank slip after the payment has been made to:
Upload a scanned copy here:

Cancellation Policy
If you are unable to attend, a substitute or replacement participants is allowed at no extra cost, written notice is given prior to the event. A 50% refund will be given if cancellation is received 14 days before the event. Please take note that telephone cancellation will not be accepted. The secretariat must receive a written notice on or before the date mentioned above. For settlement of refund, the secretariat will charge the transferring fee to the participant.