ICOQSIA2024 Registration Form
Salutation
*
Please Select
Professor
Associate Professor
Dr.
Mr
Mrs
Miss
Full Name
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Institutional Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
*
Mobile Number
*
Type of Registration
*
Please Select
Professional Local Presenter-RM800
Student Local Presenter-RM500
Professional International Presenter-RM1000
Student International Presenter-RM1000
Participant-RM450
Paper ID (key in 00 if you are joining the conference as participant or as a presenter without full paper submission)
*
Do you have additional paper?
*
Please Select
Yes (RM300)
No
Additional paper ID
Will you be joining our UUM Tour on 17th September 2024 (230pm-630pm) with additional RM100 fee? (Please complete your tour fee by 30 May 2024 to secure your seat)
*
Please Select
Yes
No
Will you be joining our Batik Village Tour on 19th September 2024 (8am-3pm) with additional RM200 fee? (Please complete your tour fee by 30 May 2024 to secure your seat)
*
Please Select
Yes
No
Method of Payment
*
Please Select
QR Pay for Conference Fee (epay.uum.edu.my/go.php?billcode=ICOQSIAFEE)
QR Pay for Tour Fee
(epay.uum.edu.my/go.php?billcode=CONFTOUR )
Proof of Payment for Conference Fee
*
Browse Files
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Choose a file
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of
Proof of Payment for Tour Fee
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of
Proof of Student's Evidence (such as screenshot from student's portal)
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of
Submit
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