ComNet'2025 Participant Registration form

ComNet'2025

Participant Registration Form
Full name*

First nameFamily name
Affiliation *
Please enter your affiliation (institution and/or lab)
Address*

CityÉtat/Province

Zip codeCountry
Phone Number*

IndicatorNumber
Email*
Registration type *
For more information visit : comnet.ieee.tn
Are you Tunisian resident ?*

YesNo
Are You ... ?*

StudentAcademicIndustrial
Total amount
Payment method*
Please use the following information for payement
- Beneficiary: TASIT
- IBAN: TN59 120460000093002623 84
- SWIFT: UIBKTNTT
- Bank : Union Internationale de Banques
- Address : Agence EL GHAZELA CP 2083 - Ariana (Tel : +216 71 120 200 / Fax : +216 71 120 300)
Please note that bank transfer fees is payable by the participant.
Please use the following information for payement
- Checks must be payable to "TASIT"
Payment by purchase order

A guarantee check must be deposited until payment (within 3 months)
Should be Empty: