NATIONAL INNOVATION CONFERENCE ON EDUCATION (NICE2013) The 2nd Annual Convention of National Association of UNESCO Clubs in the Philippines

(NAUCP), Inc. Theme: Water Education: Developing Innovative Solutions for Sustainable Future in celebration of 2013-United Nations International Year of Water Cooperation January 26-29, 2013 Sol y Viento Mountain Hot Springs Resort Brgy. Pansol, Calamba City, Laguna

REGISTRATION FORM
Name: LUQMAN HAMID_____________________.___ Nickname: LUQMAN_______________
(Last Name) (Given Name) (M.I.)

Mailing Address: luqman.new@gmail.com _____________________________________________ Institutional Affiliation:UNIVERSITY OF RIAU____________ Designation: STUDENT________ Date of Birth:21 -09-1993 Age: 19 ___ Place of Birth:PEKANBARU_ Gender: MALE_______

Passport no.: A 4092491_______ Flight Details: _________________________________________ Contact Numbers: Mobile: _089620736119______ Landline: ______________________________ E-mail Address: luqman.new@gmail.com____ Website (if any): http://www.facebook.com/new.luqman Allergies:none_______________________________ Food Restrictions: no pork and alcohol (halal)__
Would you like to join any of the NICE 2013 Contests? Please go to the website write a letter of intent and send to pfucca@gmail.com Would you like to present a paper on the workshop theme? Please go to the website write a letter of intent and send to pfucca@gmail.com Would you like to join the Optional Natural Hertage Tour of Pagsanjan Falls? Yes, Ill join Registration fee is inclusive of program materials, accommodation (January 26-29, 2013 with Check-in at 2pm of January 26, 2013 and check-out at 12:00 nn of January 29, 2013), and meals for the duration of the conference only (starting dinner of January 26, 2013 and lunch on January 29, 2013). Additional payment of Php 1,500.00 to join the optional tour of Pagsanjan Rapids and Falls. Local and International Delegates shall enjoy additional one free slots for the head of their delegations for every group of 10 participants coming from one institution. This does not apply to accredited UNESCO Clubs since there is already a 25% discount given to the members of NAUCP. Airfare shall be shouldered by the participants or by their agency/institution. Fees are as follows: Registration Period UNESCO Club Members International Delegates up to November 30, 2012 Php 4,500.00 Php 6,000.00 up to December 15, 2012 Php 4,875.00 Php 6,500.00 up to December 30, 2012 Php 5,250.00 Php 7,000.00 after December 30, 2012 Php 5,625.00 Php 7,500.00 Local delegates US $ 100.00 US $ 150.00 US $ 200.00 US $ 250.00

Checks should be made payable to National Association of UNESCO Clubs in the Philippines, Inc. or payments deposited at the Banco De Oro-SM Manila Branch with Account No. 0004-70592567. Please accomplish this REGISTRATION FORM, scan the DEPOSIT SLIP and send the files (Registration Form and Scanned Deposit Slip) via e-mail to niceunescoclub@gmail.com with NICE 2013 FINAL as the subject title. For inquiry please contact Ms. Angelie Bustria, NAUCP-Executive Director at (632) 2080785, (632)9228405258 or (632)9175441543. IMPORTANT: If you paid by depositing directly to the NAUCP Bank Account, DO NOT forget to bring your deposit slip as proof of payment upon registration on the first day of the conference. You may also scan the deposit slip and send it together with this confirmation slip via e-mail. Otherwise, your claim to payment will not be accepted. It is the responsibility of the delegates to ensure that the organizers receive the full payment of the registration

fee without any deduction for bank charges. Your registration is only completed upon full payment of the registration fee. Please note that discounts are only applicable for full payment transaction prior to the conference. In case you are unable to attend the conference, request for cancellation or substitution must be received in writing by the National Association of UNESCO Clubs in the Philippines or email us at least 30 days prior to the start of the Conference . Approved requests will be charged 25% of the registration fee of P 1500.00 for cancellation/service fee. Request for cancellation made less than 30 days before the conference will not be refunded .