IBCM8 Malaysian Registration Form (Malaysian Residents Only)

PERSONAL DETAILS

Registering For *

Individual
Couple
Family
Group

You need to fill in a separate form for each separate person participating in the conference (even infants).

Couple/Family/Group ID

Couple/Family/Group ID = Family/Last Name/Group Name

Title *

First/Given Name (as on passport) *

Last/Family (as on passport) *

Email *

Email

Confirm Email

Mobile Phone *

Will be used by IBCM Network staff for arrival and departure purposes only.

Residential Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country of Residence *

Date of Birth *//

Gender *

Male
Female

Is your spouse coming with you? *

Yes
No

Please note if you answer "YES" you still need to complete a separate registration form for your spouse. The details below just lets us know both names of each couple.

Spouse Title *

Spouse First/Given Name *

Spouse Last/Family Name *

Do you need translation from English into another language? *

Yes
No

Languages offered are: French, Portuguese, Spanish

Language *

Language you need translation for

Are you willing to translate at the conference?

Yes
No

Languages offered are: French, Portuguese, Spanish

Language I will translate into is *

Dietary Requirements

Further Dietary Information

PASSPORT DETAILS

Passport - Country of Issue *

Passport Number *

Passport - Date of Issue *

Passport - Expiry Date *

CHURCH & MINISTRY

Church attending *

Christian organisations you work with (if any)

Nature of personal ministry

TRAVEL DETAILS

Do you need a Visa in advance?

Yes
No

You must apply for a visa yourself. To do this go to https://www.visasmalaysia.com/requirements/

Do you need a formal letter of invitation to the conference?

Yes
No

Do you need transport from the airport to the conference centre?

Yes
No

Transport guidance and tickets will be provided from the airport to the hotel by train and shuttle on Sunday June 18 and Monday June 19 only. Return transport guidance and tickets will be provided to the airport only on Saturday June 24.

IBCM8 MISSION TRIPS

Do you intend to participate in a short-term mission trip following the conference? *

Yes
No

Short term mission trips covering different ministries in surrounding countries including Malaysia, Cambodia, Philippines, Pakistan, will be offered following the conference to a limited number of participants. If you select yes more details and a mission trip registration form will be sent to you.

CONFERENCE OPTIONS

Conference Network Track Selection *

During the conference there will be a number of Network sessions as well as specific electives related to the network area. Choosing a network track still allows you to choose other electives.

CONFERENCE FEES (per person)

All amounts are in Malaysian Ringgit.
Registration closes on May 15, 2023.

Are you applying for a supported place? *

Yes
No

If you are applying for a supported place you are still required to fill in the conference details and pay a $50 deposit.

What level of support are you requesting? *

Half Conference Fee

Supported places and the amount of support able to be given to each will be limited by the funding that is available.

Do you need Medical Travel Insurance? *

No
Yes (50)

Visa insurance will cost $50 each.
If you need to apply for a Visa and don't have your own travel insurance you must select YES.

Fee Options - Malaysian Rates (MYR) (per person) (select one) *

1 - Conference, Accommodation Double/Shared Room - MYR (1900)
2 - Conference, Accommodation Single Room - MYR (2600) subject to availability
3 - Conference, No Accommodation - includes 2 meals each day (lunch & dinner)- MYR (1200)
4 - Daily Rate - includes 2 meals (MYR 350)
5 - Child Rate - 4-12 years MYR (1200)
6 - Infant Rate - 0-3 years MYR (200)

All rates are in US Dollars

Days Attending (MYR 350/day) *

Do you wish to book extra nights at the conference venue? *

Yes
No

Extra Nights - Double/Shared Room/Night (MYR 300) includes breakfast *

Friday - 16th June
Saturday - 17th June
Sunday - 18th June
Saturday - 24th June

Extra Nights - Single Room/night (MYR 450) includes breakfast *

Friday - 16th June
Saturday - 17th June
Sunday - 18th June
Saturday - 24th June

If sharing a room with whom would you like to share?

Would you like to provide financial assistance for the conference or other participants? *

Amounts are in Malaysian Ringgit

Support Amount (MYR) *

Total Conference Cost (MYR)

What amount would you like to pay now? *

Full Amount - by Bank Transfer to CBSM [MYR]

Amounts are in Malaysian Ringgit. Pay by Bank Transfer to:
CBSM | Christian Brethren Secretariat Malaysia
BANK | Public Bank Berhad
ACCOUNT | 3172570809

Please send your bank transfer confirmation to cbsm0709@gmail.com or to Albert Ng @ +60122043552

IBCM8 Conference Payment (MYR) *

Amounts are in Malaysian Ringgit

Credit/Debit Card (Please ignore if paying by bank transfer)

Card

Name on Card

Please ignore if paying by bank transfer. Make bank transfer to the following bank account:
CBSM | Christian Brethren Secretariat Malaysia
BANK | Public Bank Berhad
ACCOUNT | 3172570809

Please send your bank transfer confirmation to cbsm0709@gmail.com or to Albert Ng @ +60122043552

Conference Participant List - I am happy to share my name and email address with conference participants? *

Yes
No

Disclaimer
I declare that I am a member or associate of a Christian Brethren church or organisation. I understand that by submitting this form I confirm that the information given on this booking form is accurate and that I recognize that it is necessary for IBCM Network to hold and process the personal data provided for the purposes of IBCM Network, and to communicate with me about it.I also undertake to ensure I meet the visa and covid regulations of Malaysia at the time of entry to the country.

Disclaimer *

I Agree