Payslip and Receipt
The 5th National and International Conference on Health and Sports Science (NICoHSS-2022)
Bank Name : Siam Commercial Bank PCL.
Account Name : Thaksin University-Faculty of Health and Sports Science
Type of Account: Saving
Account Number : 425-076291-9
SWIFT Code: SICOTHBK
1. Name-Surname
Please specify Name Title.
2. Address
*
3. E-mail
*
example@example.com
4. Telephone Number
*
Please enter a valid phone number.
6. Type of Participation
*
Please Select
Participant only
Oral presentation
Poster presentation
7. EasyChair Number
8. Amount
9. Your account number
10. Bank Transfer
11. MM-DD-YYYY
-
Month
-
Day
Year
Date
12. Payslip Upload
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