<p> Address: Unit B, 6/F, Dragon Industrial Building, 93 King Lam Street, Lai Chi Kok, Kowloon, Hong Kong, Email: [email protected] Tel: +852-3500-0137 (Hong Kong)/+1-206-456-6022 (USA)/+86-28-86528465 (China) Listener Registration form of ICSEM 2018</p><p>Bucharest, Romania, March 07-09, 2018</p><p> http://www.icsem.org/ </p><p>2018 International Conference on Smart Engineering Materials (ICSEM 2018) will be held in Bucharest, Romania during March 07-09, 2018. Please note that it is essential for all participants to send in a completed Registration Form and Payment Proof to [email protected] before February 10, 2018.</p><p>1. PERSONAL INFORMATION First Name: Family Name: Attendee’s Photo</p><p>Whether attend the Conference: (Please choose √)</p><p>Yes □ The Attendee’s Name: (All the materials of participation will be prepared under this name. Only one participant could come with one registration.)</p><p>No □ (We will send you the scanned receipt after the conference.) Whether join in the One Day Visit on March 09, 2018, 80 USD/per person (Please choose √) Yes □ The Attendee’s name: No □</p><p>Position: Prof. □ Associate Prof.□ Assistant Prof.□ Lecturer□ Ph. D □ Master □ Others □</p><p>Organization or University: </p><p>City: State: Country: Postcode: Telephone: Fax: Mobile: Email: Special Needs or Dietary Requirements: Student ID Number of Your University: Any enquiries or questions please feel free to contact us for assistance. </p><p>2. REGISTRATION FEE Registration Fee Please fill√ Listener 300 USD</p><p>1 Address: Unit B, 6/F, Dragon Industrial Building, 93 King Lam Street, Lai Chi Kok, Kowloon, Hong Kong, Email: [email protected] Tel: +852-3500-0137 (Hong Kong)/+1-206-456-6022 (USA)/+86-28-86528465 (China) One Day Visit & Tour 80 USD Proceedings/Journal 50 USD/One Book</p><p>* For the participants who have difficulties to pay US Dollars, such as Iran, you can pay by Euros.</p><p>3. PAYMENT INFORMATION A. Credit Card Payment Information (No handling fees) http://meeting.yizhifubj.com.cn/web/main.action?meetingId=188 Please make sure you have VISA or Mastered Card Credit Card before clicking this link, and you should also calculate the right amount and pay. </p><p>Please fill in the E-mail and Confirmation Number after paying. E-mail: Confirmation Number:</p><p>B. Bank Transfer (30 USD handling fees) ACCOUNT NUMBER: 779 053 099 668 ACCOUNT NAME: ZHOU JIANHONG NAME OF THE BANK: HANG SENG BANK LIMITED SWIFT CODE: HASEHKHH ADDRESS OF THE BANK: 83 DES VOEUX ROAD CENTRAL, HONGKONG</p><p>Please fill in the following form for us to check your payment Remitter’s Account No. Remitter’s Name: Remit date: Remit amount:</p><p>Please indicate paper ID as “listener” in the payment, and return the filled registration form and scanned payment proof to [email protected] before February 10, 2018 by e-mail attachment.</p><p>ICSEM 2018</p><p>2</p>