registration

1998 International Conference on Information Security & Cryptology
Inter- Continental Hotel, Seoul, Korea, December 18∼19, 1998

REGISTRATION FORM

PLEASE MAIL OR FAX TO:
Korea Institute of Information & Cryptology
Seongjee Heights B/D III, Room 909
642-6 Yeoksam Dong, Kangnam Ku, Seoul 135-081, Korea

Tel: +82-2-564-9333
Fax: +82-2-564-9334
E-mail: kiiscedc@soback.kornet.nm.kr
WWW: http://elec.sch.ac.kr/icisc98/

PLEASE PRINT:

Full Name: Prof/Dr/Mr/Ms __________________________________________________________

Sex(M or F): __________

Affiliation: _________________________________________________________________________

Address: __________________________________________________________________________

City/State/Country: ________________________________________________________________

Phone Number: __________________________ Fax Number: __________________________

E-mail: __________________________________ URL: _________________________________

REGISTRATION FEES: (Unit: US Dollar/ Korean Won)

Regular* Student**

Advance Registration(Until Dec. 11, 1998)
Late/On-site registration
Extra Dinner Ticket(Dec. 18, 1998)
Extra Lunch Ticket(Dec. 19, 1998)
Extra Proceeding □ $100
□ $125
□ $25
□ $8
□ $15 □ ￦120,000
□ ￦150,000
□ ￦30,000
□ ￦10,000
□ ￦20,000 □ $30 □ ￦40,000
□ $40 □ ￦50,000

* Regular registration fee includes 1 Conference Proceeding, 1 Dinner(Dec. 18), and 1Lunch(Dec. 19)
** Full-time student registration fee includes 1 Conference Proceeding.

HOTEL RESERVATION:

Inter-Continental Hotel (Tel: +82-2-559-7781 Fax: +82-2-559-7987)
      □ Single($170 per night)         □ Double($270 per night)
      Sharing room with:
      Check-in: ___________________________ Check-out:__________________________
        - If you are not staying at the above hotel, please make your own arrangement.

TOTAL ENCLOSED: $ Won

METHOD OF PAYMENT:

    □ Money Order   □ Master Card      □ Visa      □ American Express

    Credit Card Number:                                 Exp. Date:

    Cardholder Name:

    Signature:                                         Date:

	Regular*			Student**
Advance Registration(Until Dec. 11, 1998) Late/On-site registration Extra Dinner Ticket(Dec. 18, 1998) Extra Lunch Ticket(Dec. 19, 1998) Extra Proceeding	□ $100 □ $125 □ $25 □ $8 □ $15	□ ￦120,000 □ ￦150,000 □ ￦30,000 □ ￦10,000 □ ￦20,000		□ $30 □ ￦40,000 □ $40 □ ￦50,000