The First International Conference on

Section 1 – Personal Information

Title *
Professor Dr Mr Ms Miss

Surname (in English) * :

Given name (in English) *:

Country * :

Organization/ Institution * :

Postal address * :

Contact phone number * :

Email address * :

Section 2 – Registration

Please read the conference webpage carefully before registering: http://www.icteap1.net/registration

Part I: Conference Registration

Pre-registration is now open until January 31, 2017. Late/on-site registration fee will apply after January 31, 2017.

Participant type:

General Participant: HKD$2000 (approx. USD $258)

Student:HKD$1000 (approx. USD $129)

Research staff/ student of Department of Linguistics and Modern Languages of CUHK (lunch not included): HKD$300 (after Jan 31, 2017) .

Vegetarian
Yes No

Note: If you register as a student, please send a scanned a copy of your student ID to our conference email teapcuhk.2017@gmail.com within 3 days of the submission of your registration.

Part II: Dinner Banquet Registration

A dinner banquet serving typical Cantonese cuisine will be held on March 11, 2017 (the second day of the conference) at the price of HKD$400 (approx. USD$52). The banquet will be held at a restaurant close to Courtyard by Marriott Hong Kong Sha Tin (the official hotel for the conference) near Shek Mun MTR station.

Attending
Yes No

Number of additional guest(s) * :

Section 3 – Payment

Payment Total: HK$

by Credit Card

Type of credit card
Visa Master

Name of card holder * :

Credit card no. * :

Expire date of credit card (MM/YYYY): /

I hereby confirm that I am authorized to use the indicated credit card.

by Bank Transfer

To: The Chinese University of Hong Kong
Name of Bank: Hang Seng Bank Limited
Bank Code: 024
Address of Bank: Central Main Branch, 83 Des Voeux Road Central, Hong Kong
Account No.:024-293-005005-001 (HK$)
Swift code: HASE HKHH
Chips no. 010522

Note: Please quote "ICTEAP-1" in your transfer document and email a scanned copy of the receipt to teap.cuhk2017@gmail.com within one week from the submission date of this registration form.

Declaration

I declare that I have read and understood all the terms of payment policy and I agree to abide by it.