REGISTRATION FORM

Page 1

REGISTRATION FORM rd

The 3 AUN Rectors Meeting and the 27th AUN BOT Meeting 27-29 July 2011 Luang Prabang, Lao PDR Personal Details Title Mr.

Ms

Full Name Position Institution Passport Number Contact Address

Tel:................................................

Fax:…………………………..

Mobile Phone No………………………………………………….. (kindly provide mobile phone no for any immediate information)

E-mail 1

E-mail 2

…………………………………..

………………………………

Accommodation: Santi Resort and Spa Tel: + 856 71 253 470-9 e-mail: info@villasantihotel.com Please note that the AUN Secretariat will assist in booking the accommodation according to your registration form and flight itinerary, therefore please kindly return us the registration form as earliest. Any room reduction, no shows, and cancellation after 10 July 2011 will apply a no show charge equivalent to one (1) night room charge under personal account of the guest

Room Type

Single 70 USD

Double 75 USD

Check-in-date Check-out-date Travelling with Spouse

Yes

No

Travelling Schedule Arrival to Luang Prabang

Date Arrival Time Flight No Airline Name

Departure from Luang Prabang

Date Departure Time Flight No Airline Name

Please complete this form and fax it to the AUN Secretariat at (662) 2168808 and please also email at achavadee@aunsec.org no later than 31 May 2011


Please complete this form and fax it to the AUN Secretariat at (662) 2168808 and please also email at achavadee@aunsec.org no later than 31 May 2011


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