CONFERENCE REGISTRATION FORM
RAC – CETCON 2014
SEPTEMBER 5, 2014
CEBU CITY, PHILIPPINES
This form enables you to register to attend the 2014 Robotics and Automation
Conference and the Computer Engineering & Technology Conference. Please
complete and return this form to:
Important Reminders:

Registration fees quoted are in US Dollars (US$) or Philippine Peso (PhP)
and inclusive of 20% VAT.

Secure a photocopy of this form for your record. One form is required per
person.

By completing and submitting this form, you have fully understood and agree
the cancellation policies stated in this form.

For more information, please visit http://rac-cetcon.usccpe.net/2014
RAC-CETCon 2014 Secretariat
Department of Computer Engineering
University of San Carlos – Talamban Campus
Nasipit, Talamban, Cebu City, Philippines 6000
Phone: +63 32 230 0100 ext 263 Fax: +63 32 346 0351
Email: raccetcon@usc.edu.ph
CONTACT DETAILS Please write legibly all in capital letters.
〇 Mr. 〇 Ms. 〇 Mrs. 〇 Miss 〇 Dr. 〇 Prof.
Other (please specify)
Last Name
First Name
Organization
Position
Address
City
Country
Postal Code
Work Phone
Fax
Mobile
Email
HOW DID YOU FIND OUT ABOUT THE CONFERENCE?
〇 Colleague
〇 Direct email notification
〇 Company/School Bulletin Board
〇 RAC-CETCon Website
〇 Website search
〇 Others: ___________________
NAME TAG Indicate details for you name tag at the conference if different from above.
First Name
Last Name
Organization
CONFERENCE REGISTRATION
Early Registration
(until March 31, 2014)
Registration Type
Regular Registration
(after March 31, 2014)
International Presenter
〇
US$ 150.00
〇
US$ 200.00
International Participant
〇
US$ 75.00
〇
US$ 100.00
Local Presenter
〇
PhP 2,500.00
〇
PhP 3,200.00
Local Participant (Professional)
〇
PhP 2,000.00
〇
PhP 2,500.00
Local Participant (Student*)
〇
PhP 1,500.00
〇
PhP 2,000.00
* - To qualify for the STUDENT RATE, you must be a full time student at the time of the conference. A valid STUDENT ID is required for verification upon payment.
PAYMENT METHOD
〇 Bank Transfer
〇 International Account (US$)
Bank Transfers payable in US$ to “University of San Carlos”
Bank Name
Account Name
Account Number
Branch
Address
Swift Code
Reference
BPI
University of San Carlos
1304 – 0005 – 69
Jones Branch
Cebu City, Philippines
BOPIPHMMXXX
USC CompE RAC_CETCon
Email a scanned copy of wire transfer slip to raccetcon@usc.edu.ph for issuance of Official Receipt.
〇 Bank Transfer
〇 Local Account (PhP)
Bank Transfers payable in PhP to “University of San Carlos”
Bank Name
Account Name
Account Number
Branch
Address
Reference
BPI
University of San Carlos
9121 – 0039 – 85
Jones Branch
Cebu City, Philippines
USC CompE RAC_CETCon
Email a scanned copy of deposit slip to raccetcon@usc.edu.ph for issuance of Official Receipt.
〇 Cash
〇 Applicable for on-site registration only.
USC OR #: ______________________________
TERMS AND CONDITIONS
REGISTRATION GUIDELINE. Please note unpaid reservation within one (1) month will not be considered as a valid registration unless fully paid and confirmed. The reservation
summary therefore cannot be considered as a valid registration confirmation. Please make sure to pay your registration fee within the time frame for early or regular registration.
INSURANCE. The registration fees do not include insurance of participants against accidents, sickness, cancellation, theft, property damage or loss. Participants are advised to take
out adequate personal insurance.
CONFIRMATION. Upon receipt of the correct registration fee (clear of bank charges), each participant will receive a confirmation of registration. Please bring this confirmation to the
Registration Desk at the conference venue as proof of your registration. Confirmation of registration will be sent upon receipt of payment.
CANCELLATION AND REFUND POLICY. To cancel and receive a refund of your registration for the RAC-CETCON 2014, you must submit a refund request in writing, email, or fax
the request to the registration team by July 31, 2014. Refunds will NOT be issued after this date. We would like to point out that participation can be cancelled with the following refund
percentage:
 Cancellation before June 1, 2014. 80% of the payment is refunded.
 Cancellation from June 1 to July 31, 2014. 30% of the payment is refunded.
 Cancellation after July 31, 2014. Payment is no longer refundable.
 No show. No show will be charged at full.
A 20% processing fee will be charged for all cancellations.
〇 I have read and understood the terms and conditions.
Signature :