Registration Form – 3rd Asia CLE Conference 23-25 May 2025 Step 1 of 5 - 2023-In-person Registration-CLE Conference 20% The 3rd Asia Clinical Legal Education Conference will be held between 23-25 May 2025 in Chiang Mai, Thailand. The conference will present the clinical legal education (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 providing a higher quality of legal education, while also promoting access to justice, strengthening the Rule of Law, and building a culture of pro bono minded services. The Conference will serve as a platform for participants to further build strong connections and foster national, regional, and international collaboration to further support the positive and continued evolution of CLE. Participants will explore different models of CLE programs and learn 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 programs. All sessions will employ an interactive, participatory, and learner-focused methodology. Readiness to Register Before you begin the registration process for the 3rd Asia Clinical Legal Education Conference, please be advised that once you have submitted your registration and completed the payment, a registration confirmation will be sent to you by email. Registration Fees: All registration fees are in USD ($), and waivers for the conference registration fee are not available. Payment Options: Credit Card and PayPal are currently accepted payment methods. Cancellation and Refund: If you find yourself unable to attend the event and are not in a position to transfer your participation to another person, there is an option available for a refund for in-person participation. This can be facilitated by purchasing a refund add-on. All cancellation and refund requests must be submitted in writing to [email protected] on or before April 30th, 2025. Please be aware that the $30 USD processing fee for the add-on option is non-refundable. However, the remainder of your registration fee paid will be refunded to you. Virtual participation registrations are non-refundable. 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 answerProfessional Title or Position(Required)Country 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 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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 IslandsCountry of Residence(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 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)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. Please selectI have no dietary requirementGluten FreeHalalNut allergyPescatarian (No meat only Fish)VeganVegetarianOtherHow did you hear about the conference?(Required) BABSEACLE website Email Event listing website Facebook LinkedIn Twitter Other Please specify your dietary requirement(Required)Please specify the source from which you heard of the conference(Required)The conference facilities are accessibility friendly, should you require more details please email us at [email protected]This field is hidden when viewing the formIf 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 This field is hidden when viewing the formPlease specify your disability(Required)This field is hidden when viewing the formConsent 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 Privacy Statement(Required)Please tick below to confirm that you agree with the terms of Privacy Policy I agree to the above terms. Presenting at the ConferenceAre you a presenter or co-presenter?(Required) Yes No This field is hidden when viewing the formthe_increase_date_firstThis is the date of the first price increase. YYYY dash MM dash DD This field is hidden when viewing the formthe_increase_date_secondThis is the date of the second price increase. YYYY dash MM dash DD This field is hidden when viewing the formincrease_amount_ip_generalDefault value is the amount to increase in-person participants product at each increase date.This field is hidden when viewing the formincrease_amount_ip_studentDefault value is the amount to increase in-person participants product at each increase date.This field is hidden when viewing the formincrease_virtualDefault value is the amount to increase Virtual product at each increase date.Registration PassType of Attendance(Required) In-person Virtual Registration Fee Category(Required)Please chooseGeneralStudentUpload a scan of student identity card(Required)Accepted file types: jpg, png, pdf, Max. file size: 64 MB.General Registration Price: $0.00 Student Registration Price: $0.00 Virtual Registration Price: $0.00 Dinner on Saturday, May 24th, 2025(Required)The conference dinner on Saturday, May 24th, 2025, is included in the conference registration fee. Please confirm your attendance if you plan to join us. Yes, I will attend. No, I will not attend. Refund Option(Required)Select this add-on option, you can request a refund of your paid registration fee in case unforeseen circumstances prevent you from attending the conference. Please note that the $30 USD processing fee is non-refundable, but the remaining registration fee will be returned to you. Read the terms and conditions here.Non-Refundable +$0Refund on or before April 30th, 2025 +$30DonationI 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. Waiver code Refund terms and conditions(Required) I confirm that I have read and agree with all the refund terms and conditions(Required) Total Registration Cost This field is hidden when viewing the formhidden_totalPaymentPayment Method(Required) Credit Card PayPal Billing Name(Required) First Last Billing Email(Required)To receive payment receipt. Billing 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