International Conference on Petroleum Engineering (ICPE 2016)

Bangladesh University of Engineering and Technology

Dhaka-1200, Bangladesh

Registration Form

1 Participant
ParticipantProfile
Profile

First Name: Last Name:

Nationality: Designation:

Organization:

Email: Phone Home Work:

Mailing Address:

2 Conference Registration
Conference Registration

Presenting a Paper? Yes No (If “Yes” then please fill the “Title” and “Paper ID” below)

Title:
Paper ID:

Name of Corresponding Author:

Name of the Presenter:

Accompanying person? Yes No (If “Yes” then please fill the blanks below)

First Name: Last Name:

Email: Phone Home Work:

Criteria Fee Cost

Local Delegate BDT 5000

Foreign Delegate USD 300

SAARC Delegate USD 250

Accompanying Person USD 100

Student(Local)(student ID required) BDT 1000

Student(Foreign) )(student ID required) USD 200

Total Cost =
3 Workshop Registration (maximum two workshops, Limited Space)

Basic Simulation and Knowledge-Based Decision Making (01.01.17, Morning)

Fundamentals of Liquefied Natural Gas (LNG) (01.01.17, Afternoon)
Major Drilling Challenges and Technical Solutions to Overcome (01.01.17, Morning)
Fundamentals of Multiphase Flow (01.01.17, Afternoon)

Criteria Fee Cost

BDT 3000 (For Professionals)

Single Workshop
BDT 500 (For Students)

BDT 5000 (For Professionals)

Double Workshop
BDT 1000 (For Students)

Total Cost =

4 Student Poster Competition

Criteria Fee Cost

Poster BDT 500 (Per person)

Total Cost =

5 Subtotal Cost

Criteria Cost

Conference

Workshop

Poster Presentation

Subtotal Cost =
6 Payment Methods

Local Delegate: A/C payee Cheque, Pay Order or Bank Draft payable to: International
Conference on Petroleum Engineering (ICPE).

Foreign Delegate: Wire transfer from abroad in USD. Alternatively, a local representative
can pay the equivalent amount in Taka by A/C payee Cheque, Pay Order or Bank Draft.

Banking Details: Bank: Sonali Bank Limited; Branch: BUET; A/C Name: ICPE;
A/C No.: 4404001029516. Swift Code: BSONBDDHLOD

Please, send the filled-up registration form and proof of payment to the Registration Sub-
Committee, International Conference on Petroleum Engineering (ICPE 2016) at
registration@icpe-buet.com

_______________________________________________________

FOR OFFICE USE ONLY

Receipt No.:____________ Registration No.:___________ Date:

Total Amount Paid:

__________________________

Shahriar Mahmud
Member Secretary (Local)