In-person Registration: The 2nd Asia CLE Conference (May 26-28, 2023 l Chiang Mai, Thailand) Step 1 of 5 - 2023-In-person Registration-CLE Conference 20% The 2nd Asia CLE Conference will be held between 26-28 May 2023 in Chiang Mai, Thailand. The conference will present the CLE programs and legal clinics in Asia. It will provide an (in-person and virtual) forum to discuss opportunities and challenges for establishing CLE programs and initiatives and the roles of clinical legal education in promoting access to justice and a culture of pro bono services. The conference will serve as a platform for participants to build solid connections and foster national and regional collaboration in support of CLE. Furthermore, the conference will promote and encourage the development of CLE in Asia. The conference will be a forum to learn and share experiences regionally and internationally. Participants will be explored different models of CLE programmes and how CLE can strengthen legal education and improve access to justice. Conference sessions will also allow participants to engage in strategic planning for academic CLE programmes. All sessions will employ an interactive, participatory and learner-focused methodology. Readiness to Register You are about to begin registering for the 2nd Asia CLE Conference. To ensure smooth and quick filling of the registration form, please keep the following ready: A scan of your ID page in your passport (this is used as part of our security process) Your credit card or PayPal login details. (Registration is complete only after payment is made) Payment Details Registration fees are in USD as a requirement of the payment registration procedure. PLEASE NOTE: To register as a student, proof of eligibility (copy of student ID) is required and must be uploaded during the registration process directly on the platform. Name(Required) First Name Last Name Email(Required) Enter Email Confirm Email Primary Contact Number(Required)Please put the country code in front of your phone number. EXAMPLE: (+66) 81 XXX 1233Gender Identity(Required)ManNon-Binary or Gender DiverseTransgenderWomanPrefer not to answerCountry of Nationality(Required)AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsOrganization(Required) Type of Organization(Required)GovernmentLegal service providerNon-governmental organizationPrivate sectorSchool / University / Educational InstituteOtherPlease Specify(Required) Professional Title or Position(Required) Dietary Requirement(Required)Please select the dietary requirement that applies to you below. If you have multiple dietary restrictions or you have any allergies or medical conditions the caterers should be aware of, please select 'Other' and specify in the text box. I have no dietary requirementGluten FreeHalalNut allergyPescatarian (No meat only Fish)VeganVegetarianOtherPlease specify your dietary requirement(Required) The conference facilities are accessibility friendly, should you require more details please email us at [email protected]HiddenIf you have a disability and may require special accommodations in order to fully participate, please check the box below.Please note that we strive to be an inclusive, accessible conference, but not all requests can be guaranteed. Please check this box if you are a person with disability HiddenPlease Specify your Disability(Required) Consent to Share Your Email Address with Conference Participants(Required)By selecting, ‘Yes, I do want my details to be included in the list of participants’, you are authorizing us to disseminate the contact information to the other conference participants. Your name, organization, and contact details will be displayed in the participant list. The participant list will be distributed to: Conference participants, supporters, and sponsors Next co-organizers of the Asia CLE Conference Yes, I do want my details to be included in the list of participants Presenting at the ConferenceAre you a presenter or co-presenter?(Required) Yes No Hiddenthe_increase_date_firstThis is the date of the first price increase. YYYY dash MM dash DD Hiddenthe_increase_date_secondThis is the date of the second price increase. YYYY dash MM dash DD Hiddenincrease_amount_ip_generalDefault value is the amount to increase in-person participants product at each increase date.Hiddenincrease_amount_ip_studentDefault value is the amount to increase in-person participants product at each increase date.Hiddenincrease_dinnerDefault value is the amount to increase Dinner product at each increase date.Registration PassRegistration Fee Category(Required)GeneralStudentUpload a scan of student identity card(Required)Accepted file types: jpg, png, pdf, Max. file size: 64 MB.Banquet/Dinner(Required)Dinner on Saturday, May 27th, 2023 is not included in the conference registration fee. Participants are invited to join the highlight of the social program. The dinner costs $25 USD per person Note that you can book for a maximum of 5 persons.No DinnerDinner 1 person + $25 USDDinner 2 persons + $50 USDDinner 3 persons + $75 USDDinner 4 persons + $100 USDDinner 5 persons + $125 USDDinner person one name(Required) First Name Last Name Dinner person two name(Required) First Name Last Name Dinner person three name(Required) First Name Last Name Dinner person four name(Required) First Name Last Name Dinner person five name(Required) First Name Last Name Refund Option(Required)Select this add-ons, to be able to flexible your participation such as refund and etc. Read the terms and conditions here.Non-Refundable +$0Refund on or before April 1st, 2023 +$30(Required) I confirm that I have read and agree with all the refund terms and conditionsDonationI would like to make a voluntary donation.No donation$250 donation$200 donation$150 donation$100 donation$50 donation$25 donation$10 donationCustom amountDonation (Custom amount)Please enter the custom amount you would like to donate. In person Registration Price: $0.00 In person Registration (Student) Price: $0.00 Waiver code Total Registration Cost Hiddenhidden_total(Required) Total Registration Cost Payment Method(Required) Credit Card PayPal PaymentBilling Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Credit CardCard Details Cardholder Name Δ