ISC'05 & IWAP'05 & MADNES'05
	The 8th Information Security Conference 
	The 4th International Workshop for Applied PKI 
	2005 Secure Mobile Ad-hoc Networks and Sensors Workshop

	20~23 September 2005, Singapore


	REGISTRATION FORM


Name (first, middle, last): __________________________________________________________________________

Affiliation (for badge): ____________________________________________________________________________

Title/Job Function: _______________________________________________________________________________

Address: _______________________________________________________________________________________

City: ______________________    State/Province: __________________     Zip/Postal Code: ___________________

Country: __________________________ Email: _______________________________________________________

Phone: (____)___________________________ Fax: (_____)_____________________________________________

Student ID: _____________________________________________________________________________________

Special Needs:______________________________    Special Dietary Requirements:    Vegetarian    Kosher     Vegan

Paper No. and Title / Conference name: _______________________________________________________________

Do not include my name, address and e-mail id in the conference attendee listing ____.

REGISTRATION FEES (inclusive of taxes)
Please circle appropriate fees.

ISC'05 Regular: US$480.00 (before 5th September)       US$580.00 (after 5th September)
IWAP'05 Regular: US$480.00 (before 5th September)      US$580.00 (after 5th September)
MADNES'05 Regular: US$480.00 (before 5th September)    US$580.00 (after 5th September)

ISC'05 Student: US$350.00 (before 5th September)       US$450.00 (after 5th September)
IWAP'05 Student: US$350.00 (before 5th September)      US$450.00 (after 5th September)
MADNES'05 Student: US$350.00 (before 5th September)    US$450.00 (after 5th September)

Extra ISC'05 Proceedings: US$60.00
Extra IWAP'05 Proceedings: US$60.00
Extra MADNES'05 Proceedings: US$60.00

Note: Students must provide by fax or mail a current ID card, or a letter from their department confirming 
their full-time status.

The Conference Registration includes attendance at all sessions of ISC'05, IWAP'05 and MADNES'05; conference lunches, 
and refreshment breaks on those days; the welcome reception; the conference banquet; and one copy of the registered 
conference proceedings.

CANCELLATION/REFUND POLICY: Refunds are subject to a US$100.00 service charge. Cancellations and requests for
refunds must be received by 23:59GMT, Monday, 12 September 2005. Refund requests will not be honored beyond  
this point. To cancel and request a refund, contact the ISC'05 conference at isc05@i2r.a-star.edu.sg.


Total Fees: US $ _______________________ (Make checks payable to Institute for Infocomm Research)

Payment included (circle one):   Master Card      Visa         Check

Credit Card Number: ___________________________________ Expiration Date: __________________

Name as it appears on Credit Card: ________________________________________________________

Signature: ____________________________________________________________________________


For Registration by Fax:
(65) 6775-5014, Attention: QIU Ying. ISCĄŻ05 Conference

For Registration by Mail (include check and registration form):
Attention:  QIU Ying 
ISC'05 Conference
Institute for Infocomm Research (I2R)
21 Heng Hui Keng Terrace
Singapore 119613

If you are paying via telegraphic transfer, the details of the bank are as follows:
        Account No: 0-818307-039
        Account Name: Institute for Infocomm Research
        Bank:  Citibank N A
        Bank Address: 3 Temasek Avenue, #12-00 Centennial Tower, Singapore 039190
        ABA or Swift Code: CITISGSG

For questions (9:30 AM - 5:30 PM SGT), 
Telephone: (65) 6874-8456,  6874-6668.
Email: isc05@i2r.a-star.edu.sg 

You should receive e-mail confirmation once your registration is processed.  If you do not, please contact the ISC'05 
committee at the above contact information.