This registration form is for presenters/speakers/discussants/ chairs and invited guests. If you are general audience, please register here
*Email :
Please enter a valid Email address.
*Title name : ++ Title name ++ Mr. Ms. Mrs.
For Myanmar name, please put your full name in this box.
*First name :
Middle name :
Last name :
*Nationality : ++ Nationality ++ AfghanAlbanianAlgerianAndorranAngolanArgentinianArmenianAustralianAustrianAzerbaijaniBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBenineseBhutaneseBolivianBosnianBotswananBrazilianBritishBruneianBulgarianBurkineseBurmeseBurundianCambodianCameroonianCanadianCape VerdeanChadianChileanChineseColombianCongoleseCosta RicanCroat or CroatianCubanCypriotCzechDanishDjiboutianDominicanDominicanDutchEcuadoreanEgyptianEmiratiEritreanEstonianEthiopianFijianFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGreekGrenadianGuatemalanGuineanGuyaneseHaitianHonduranHungarianIcelandicIndianIndonesianIranianIraqiIrishItalianJamaicanJapaneseJordanianKazakhKenyanKuwaitiLaotianLatvianLebaneseLiberianLibyanLithuanianMacedonianMadagascanMalawianMalaysianMaldivianMalianMalteseMauritanianMauritianMexicanMoldovanMonacanMongolianMontenegrinMoroccanMozambicanNamibianNepaleseNew ZealandNicaraguanNigerianNigerienNorth KoreanNorwegianOmaniPakistaniPanamanianPapua New GuineanParaguayanPeruvianPhilippinePolishPortugueseQatariRomanianRussianRwandanSalvadoreanSaudi ArabianSenegaleseSerbianSeychelloisSierra LeonianSingaporeanSlovakSlovenianSomaliSouth AfricanSouth KoreanSpanishSri LankanSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikTanzanianThaiTogoleseTrinidadianTunisianTurkishTurkmenTuvaluanUgandanUkrainianUruguayanUSUzbekVanuatuanVenezuelanVietnameseWestern SamoanYemeniZambianZimbabwean
Academic Title : ++ None ++ Professor Associate Professor Assistant Professor Professor Dr. Associate Professor Dr. Assistant Professor Dr. Dr. Others
*Please specify academic title :
Position :
*Organization :
Please fill in your full affiliation i.e. department, university.
*Address :
*Postal Code :
*Country (residence) : ++ Country Name ++ AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe
*Phone :
Type of organization : ++ None ++ AcademicInternational organizationNGOs/CBOsMediaOthers
*Please specify type of organization :
Please check if you are from : Chiang Mai University Others
Onsite: Student Onsite: Non-student Online: Student Online: Non-student Required
*Student ID file : [.pdf upto 2 MB]
Role in the conference : ++ None ++ PresenterDiscussant/ Moderator/ Chair/ Convenor/ ExhibitorOthers
*Please specify role in the conference :
General invitation letter : Yes No
Certificate of participation : (only for paper presenters and panelists) Yes No
Letter for visa application : Yes No
*Last name :
*Passport number :
*Date of birth : (dd/mm/yyyy)
*Date of issue : (dd/mm/yyyy)
*Date of expiry : (dd/mm/yyyy)
Special Dietary : ++ None ++ VegetarianVeganHalalOther
*Please specify dietary :
Security Code :
*Verify Code :
Please input security code.
