Profile – Thai Participant PERSONAL DETAILSTITLE *Mr.Mrs.Ms.Dr.OtherFIRST NAME *MIDDLE NAMESURNAME *CONTACT DETAILS / BILLING INFORMATIONORGANIZATION *Address *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweMOBILE *Email Address *SPECIAL DIETARY REQUIREMENTNO PORK NO LARDVEGETARIANOtherPromotion CodeREGISTRATION FEE – THAI PARTICIPANT *PARTICIPANT: THB 0REGISTRATION FEE – THAI PARTICIPANT *PARTICIPANT: THB 3,000STUDENT: THB 2,500FIELD TRIP REGISTRATIONPLEASE INDICATE WHETHER YOU WISH TO PARTICIPATE IN THE FIELD TRIP SCHEDULED FOR MARCH 25, 2026, FOR PLANNING AND ARRANGEMENT PURPOSES *Will participate in the field trip : additional fee of THB 1,500Will not participate in the field tripPLEASE INDICATE WHETHER YOU WISH TO PARTICIPATE IN THE FIELD TRIP SCHEDULED FOR MARCH 25, 2026, FOR PLANNING AND ARRANGEMENT PURPOSES *Will participate in the field trip : no additional feeWill not participate in the field tripWE KINDLY REQUEST YOUR ID CARD NUMBER AND DATE OF BIRTH TO ARRANGE TRAVEL INSURANCE FOR THE FIELD TRIP ON 25 MARCH 2026.ID CARD NO. *DATE OF BIRTH *Total Amount :THBTo complete your registration, please proceed with the payment via bank transfer. Kindly note that all transaction fees are the responsibility of the participant, and the official receipt will reflect only the net amount received by the organizer (excluding bank charges). Once the transfer has been completed, please send a copy of the bank transfer slip along with your full name and registration ID to ictp2026thailand@gmail.com Payment Information: Bank : TMBThanachart Bank Public Company Limited Account No : 069-2-81246-4 Account Name : ICTP2026, Faculty of Agriculture, KU Bank Address : 50 Phahonyothin Road, Lat Yao, Chatuchak, Bangkok 10900 Thailand Bank Branch No : TTB-069 Swift Code : TMBKTHBK Cancellation & Refund Policy The cancellation request form must be completed in full to be processed. Refunds will be issued after the conference for administrative reasons. No refunds will be granted in cases of cancellation due to bad weather or other circumstances beyond the control of the organizer. Refunds will be made according to the following schedule: On or before 15 February 2026: 100% reimbursement After 15 February 2026: No refund will be granted Submit
