THE SIXTH PACIFIC-ASIA CONFERENCE ON KNOWLEDGE DISCOVERY AND DATA MINING PAKDD 2002 May 6-8, 2002 Registration Form Please type or print clearly in ENGLISH BLOCK LETTERS Personal Information: Title: [ ]Prof. [ ]Dr. [ ]Mr. [ ]Ms. Gender: [ ]Male [ ]Female Paper ID/Title: (if any)__________ Name: ___________________________________ _____________________________ (Surname / Family Name / Last Name) (Given Name / First Name) Affiliation: _____________________________Position:___________________ Tel: ________________ Fax: ________________ E-mail:_________________ Mailing Address: _____________________________________________________ City: _______________ State: _______________Country: _________________ Postal Code: ________ Conference On or before After Sub-Total Registration Fee April 8, 2002 April 8, 2002 ================ ============== ============== =============== Non ACM/IEEE/IICM [ ]NT$13,700 [ ]NT$15,000 NT$ ___________ member ACM/IEEE/IICM member [ ]NT$12,300 [ ]NT$13,700 NT$ ___________ Membership ## Student [ ]NT$6,500 [ ]NT$7,500 NT$ ___________ (Proof of identity required) ## - Please indicate your membership number on the registration form. Tutorial Fee Sub-Total =============================== ============== =============== With conference registration [ ]NT$3,000 NT$ ___________ Without conference registration [ ]NT$6,000 NT$ ___________ (tutorial only) Workshop Fee Sub-Total =============================== ============== =============== With conference registration Free of charge Free of charge Without conference registration [ ]NT3,000 NT$ ___________ (workshop only) Quantity Unit price Sub-Total ======== ============== =============== Extra page charge (authors only; ________ NT$3,400 NT$__________ 2 pages maximum) (per extra page) Extra reception ticket ________ NT$1,800 NT$___________ Extra banquet ticket ________ NT$1,800 NT$___________ Extra proceeding copies ________ NT$2,000 NT$___________ +----------------------+ | Total: NT$ | +----------------------+ ---------------------------------------------------------------------- Payment method: [ ] Credit Card (Only VISA or MASTER CARD is accepted) ( ) VISA or ( ) MASTER Card Number: ________________________________ Name of Card Holder: ________________________ Expiry Date: Month___________ Year___________ Signature: __________________________________ (Signature is required) [ ] Bank Transfer Please deposit exact registration fees to the following bank (in Taiwan Dollar only) Beneficiary Name: Ming-Syan Chen Account Number : 154-200546-231 Bank Name : Hua Nan Bank Branch : National Taiwan University Branch No. 1, Sec. 4, Roosevelt Rd., Taipei, Taiwan Please attach your deposit receipt with this registration form when mailing or faxing them to the address below. * This form must be accompanied by the applicable registration fee. * Handling charges are required for refund of registration. Receipts will be given out at the conference. * Student registration must be accompanied with proof of identity. * Please either (1) send the completed registration form (preferably by registered mail) to Prof. Ming-Syan Chen, Department of Electrical Engineering, National Taiwan University, No. 1, Sec. 4, Roosevelt Rd., Taipei, Taiwan or (2) fax it to +886-2-2367-1597. For further information, please contact mschen@cc.ee.ntu.edu.tw.