<p> Registration Form International Conference on Mountains and Climate change: Resources, Challenges and Opportunities for Better Life and Livelihoods September 17 – 19, 2015</p><p>Integrated Mountain Areas Research Centre (IMARC) Karakoram International University, Gilgit, Pakistan</p><p>Program and lodging information: www.kiu.edu.pk/conference Full Name: ______(First name for badge)______University/Organization: ______Preferred Mailing Address:______City: ______State/Province: ______Zip/Postal Code: ______Country: ______Telephone: (______)______Fax: (______)______Email: ______</p><p>REGISTRATION DETAILS</p><p>Please check the relevant  I would like to participate in the oral presentation Title of Talk: ______Brief Abstract (max 300 words, please attach to form): </p><p> I would like to attend the conference, but not present. </p><p> I would like to participate in the poster presentation session. Poster Title: ______Names of other contributors (if group): ______</p><p>______</p><p> I would like to participate the post-conference visit</p><p>CONFERENCE FEES</p><p>Registration Fees: Please check the relevant. The registration fee covers meals during conference, abstract booklet and stationary.</p><p>PLEASE CHECK APPROPRIATE REGISTRAION FEE: EARLY REGISTRATIONON-SITE REGISTRATION Pakistani National (Students)  Rs. 1000  Rs. 1500 Pakistani National (Professionals)  Rs. 5000  Rs. 7000 SAARC Countries  USD 100  USD 150 All other nationals  USD 200  USD 250</p><p>Cancellations/Changes and Refunds: Registration fees will be refunded if cancellation is received in writing no later than September 4, 2015. After that date, registration fees are non-refundable. All refunds will be processed after the conference. </p><p>Payment method: Please state the conference name and the full name of the participant. The conference fee should be paid by cheque or electronic transfer to this account:</p><p>Account title: KIU – Recurring Grant Account Number: 01077900246701 Bank: Habib Bank Limited Main Branch Gilgit</p><p>Payment should be made in Pakistani Rupees</p><p>Date: ______/______/______Signature:______</p><p>Please mail or fax completed registration form with payment details to:</p><p>Mr. Muhammad Zafar Khan Phone: 0092 5811 960011-12 Ext: 166 Assistant Professor FAX: 0092 5811 960045 Department of Environmental Sciences Emai: [email protected] Karakoram International University, University Road, Gilgit-15100, Pakistan</p>