THE FIFTH PACIFIC-ASIA CONFERENCE ON 
                 KNOWLEDGE DISCOVERY AND DATA MINING
                                           PAKDD 2001
                          
                          April 16-18, 2001
                          Registration Form
        Please type or print clearly in ENGLISH BLOCK LETTERS

Personal Information:

Title:  [ ]Prof. [ ]Dr. [ ]Mr. [ ]Ms.       Gender: [ ]Male  [ ]Female
Paper ID: (if any)__________

Name: ________________________________________________________________
      (Surname / Family Name / Last Name) (Given Name / First Name)

Affiliation: _____________________________Position:___________________

Tel: ________________  Fax: ________________  E-mail:_________________

Mailing Address: _____________________________________________________

City: _______________ State: _______________Country: _________________

Postal Code: ________

Conference           On or before        After            Sub-Total
Registration Fee    March 16, 2001   March 16, 2001 
================    ==============   ==============    ===============

Non ACM/IEEE/HKWS~/  [ ]HK$3,050.00   [ ]HK$3,400.00    HK$ ___________
HKCS^ member

ACM/IEEE/HKWS~/HKCS^ [ ]HK$2,745.00   [ ]HK$3,060.00    HK$ ___________
Membership ## 

Student              [ ]HK$1,500.00   [ ]HK$1,700.00    HK$ ___________
(Proof of identity
required)

#-Hong Kong Web Society
^-Hong Kong Computer Society
## - Please indicate your membership number on the registration form.

Tutorial                                  Fee             Sub-Total
===============================      ==============    =============== 

With conference registration         [ ]HK$800.00      HK$ ___________
(Select one tutorial from each                         
session)                                      

Morning Session                               
[ ]I        [ ]II        [ ]III
Afternoon Session
[ ]IV       [ ]V         [ ]VI

Without conference registration      [ ]HK$1,500.00    HK$ ___________
(tutorial only)

Workshop                                   Fee            Sub-Total
===============================      ==============    ===============
With conference registration         Free of charge    Free of charge
Without conference registration      [ ]HK$600.00      HK$ ___________
(workshop only)

                       Quantity        Unit price         Sub-Total
                       ========      ==============    =============== 
Extra banquet ticket   ________        HK$450.00       HK$ ___________
Extra proceedings      ________        HK$500.00       HK$ ___________

                                              +----------------------+
                                              | Total: HK$           |
                                              +----------------------+ 

----------------------------------------------------------------------

Payment method:

[ ] Bank Transfer
    Please deposits exact registration fees to the following bank (Hong Kong Dollar Only)
    Beneficiary Name:  Hong Kong Web Society
    Account Number  :  359-072931-003
    Bank Name       :  Hang Seng Bank
    Branch          :  City University Branch, Tat Chee Avenue, Kowloon

    Please attach your deposit receipt with this from and send to
    Fax # : +852-2547-4611.

[ ] Credit Card (Only VISA or MASTER CARD is accepted)
    (  ) VISA   or  (   ) MASTER
    Card Number: ________________________________ 
    Name of Card Holder: ________________________ 
    Expiry Date: Month___________ Year___________  

    Signature: __________________________________
                 (Signature is required)

[ ] Local Cheque (Hong Kong Dollar)
    Please make the cheque payable to "Hong Kong Web Society" and send 
    to the below address.
  
*   This form must be accompanied by the applicable registration fee.

*   Handling charges are required for refund of registration. Receipts 
    will be given out at the conference.

*   Student registration must be accompanied with proof of identity.

*   Send this form (preferably by registered mail or fax) to 

    PAKDD01 Secretariat, E-Business Technology Institute, 
    The University of Hong Kong, Pokfulam, Hong Kong.  
    FAX: +852-2547-4611