First name:*  
Last name:*  
Affiliation:*  
Address:*  
 
 
 
Country:*  
E-Mail address:*  
Please make sure you provide a valid email address, as we will send your registration confirmation to that address.
Telephone:  
Fax:  
     
Mark your choice:
Africacrypt Fee:  
The registration fee includes a reception on Sunday, a rump session on Tuesday, a banquet on Wednesday evening, lunches on Monday, Tuesday, Wednesday, and Thursday, refreshments during the breaks, and the proceedings of Africacrypt (Springer LNCS 6055).
Dietary restrictions:  
Comments:  

* required

Payment can only be done by electronic bank transfer. Participants are regarded as registered after the registration form has been completed and payment has been made. We offer two accounts to make your transfer to
Participants from Euro countries should make a bank transfer in EUR to:

Name bankRabobank
Account number 15.82.49.658
Account holder TU/e
Den Dolech 2
5612 AZ Eindhoven
Netherlands
BIC Code RABONL2U
IBAN nr NL42RABO0158249658
Mentioning 323120-44490-1001336 Last_name Africacrypt 2010
Please make sure to give the reference 323120-44490-1001336 Last_name as otherwise it is impossible to trace back the transaction. To have the transfer count as EU standard transfer choose cost sharing SHARE. Do NOT choose this option if the transfer is not a EU standard transfer; all other transfers must choose cost sharing OUR (issuing party covers transfer fees).

All other participants are requested to make a bank transfer to:
Account holder University of Cape Town
Rondebosch 7700
South Africa
Account number 071 503 854
Name bank Standard Bank of S.A. LTD
Riverside Centre, Belmont Road
Rondebosch 7700
South Africa
Bank Tel +27 21 689 8353
Bank Fax +27 21 686 8025
Branch Code number02 50 09 11,
Branch nameRondebosch
SWIFFT Code SBZAZAJJ
Mentioning Africacrypt 2010 Last_name
Cost sharing Choose OUR (issuing party covers transfer fees )