Name (*)

Email (*)

Mobile No (*)

Affiliation (*)

Category (*) Select Authors Participant Participant (Malaysia) IIUC BBA Teachers/Staff IIUC Student Author ICBIID Committee Member

Paper Title (*) Write N/A if you attend only as participant

Will You Present The Paper?(*) Select Yes No

Paper Title

Will You Present The Paper? Select Yes No

Bank Details (*) Payment can be made either in local currency i.e. Taka or in US Dollar. For bank transfer, please refer to Bank Transfer Information below:

Account Name	: Mr. Abdul Hamid Chowdhury
SWIFT Code	: EXBKBDDH003
Account Number	: 04812100195274
Name of the Bank	: Export Import Bank of Bangladesh Limited (EXIM Bank)
Branch	: Sitakunda Branch
Routing Number	: 100157390

Amount (*)

Payment Description (*) Input Transaction Number, Date etc.