The 23rd International Conference on Production Research
August 2 - 6, 2015, Manila, Philippines
Registration Form for Local Filipino Participants
Please fill this up, and scan / email to icpr23secretariat@gmail.com
Personal Information
 Mr.
Paper ID:
 Ms.
 Dr.
 Prof.
__________________________________________________
(each registration can present maximum of two papers)
Last Name: __________________________________________________
First Name:
E-mail:
_______________________
Affiliation/Organization:
____________________________________
Address (No, City/Town, State/Province, Zip Code, Country):
____________________________________________________________
____________________________________________________________
Phone: _____________________________ Fax:_____
Classification:  Author  Student  Audience only  Spouse of participant
(A copy of student card and certification letter of student status from graduate advisor is
required for students)
The 23rd International Conference on Production Research
August 2 - 6, 2015, Manila, Philippines
Registration Fee
1 Day (Aug. 03, 2015)
PIIE National Congress
Registration Fees include one (1)
dinner on Aug 3
Early Bird
(until June 16, 2015)
PIIE Member
Academe
PIIE Member
Industry
Non-Member
Academe
Non-member
Industry
Technical Visit
and lunch at
Tagaytay*
Regular
4 Days (Aug. 02-05, 2015)
PIIE Congress + ICPR23
Registration Fees include three (3)
cocktail/dinners on Aug 2, 3 and 5
Early Bird
Regular
(until June 16, 2015)
 Php 6,500.00
 Php 7,500.00
 Php 14,000.00
 Php 16,000.00
 Php 8,500.00
 Php 9,500.00
 Php 16,000.00
 Php 18,000.00
 Php 8,000.00
 Php 9,000.00
 Php 15,000.00
 Php 17,000.00
 Php 10,000.00  Php 11,000.00  Php 17,000.00
 Php 19,000.00
 Php 3,500
 Php 3,500
 Php 3,500
Total (Php)
 Php 3,500
Total Payment
*Please
check which technical visit you are attending if you paid Php3,500 above
(for intro to the site, see http://www.piie.org/icpr23/downloads/Plant%20Info%20Sheet.pdf):
 Mitsubishi Motors Philippines (max 30 pax, first come first serve)
 Lufthansa Technik Philippines (max 30 pax first come first serve)
 Analog Devices Philippines (tentative)
Method of Payment:
1. Credit Card
Secretariat (Philippine Institute of Industrial Engineers) will send you a PAYPAL email order
for you to pay using credit card.
The 23rd International Conference on Production Research
August 2 - 6, 2015, Manila, Philippines
2. Bank Transfer (Please scan the deposit slip to icpr23secretariat@gmail.com)
Account Name:
Account number
PHILIPPINE INSTITUTE OF INDUSTRIAL ENGINEERS, INC.
541-6-000119-38
Name of the bank: STERLING BANK OF ASIA, INC.
AMORSOLO BRANCH
AMORSOLO, MAKATI CITY
3. Check payment over PIIE office
Please transact at PIIE office:
Unit 3410 Cityland Pasong Tamo Tower 2210 Chino Roces Avenue, Makati City
Tel: (+632) 812-2301 / (+632) 625-7396 / (+632) 813-3707
Email: piie@pldtdsl.net
Cancellation/ Refund
50% refund 5 weeks prior to start of conference (i.e. before 28 June).
No refund after June 28, 2015.