Event Check-In Registration Form Universidad Andina Cusco Personal InformationName and surname(Required)Type of ID(Required)Select your optionDNI (peruvian ID)PassportNumber ID(Required)Email(Required)Please note that only one email address per user is allowed for this registration. Please ensure you use a unique address. Enter Email Confirm Email Gender identity(Required)Select your optionWomanManOtherI prefer not to sayCountry of origin(Required)Select your optionAfghanistanAlbaniaAlgeriaAmerican 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 IslandsProfession(Required)Select your optionBiologistChemistEngineerMathematicianPhysicistOtherNone of the aboveLevel of instruction(Required)Select your optionDoctorMasterGraduate studentBachelorUngraduate studentNone of the aboveAre you an student or professor?(Required)Select your optionStudentProfessorUAndina Code(Required)Code of student or professorPaymentType of receipt for Peru(Required)Boleta ElectrónicaFacturaIf you choose “FACTURA”, t will be issued in the name of the Universidad Andina del Cusco.Special Rate for Universidad Andina del Cusco Price: NOTE: The special rate for Universidad Andina del Cusco for IEEE-LANANO 2025 mainly includes coffee breaks, conference sessions, merchandising, and a digital certificate in the name of the IEEE. INSTRUCTIONS TO PAY USING CULQILINK Your registration for IEEE-LANANO 2025 will be finalized upon successful payment and submission of your proof of payment. The following link will direct you to CulqiLink, a secure platform for processing your payment in U.S. dollars (USD).Pay of CulqiLink for “Special Rate for Universidad Andina del Cusco”After completing your transaction, please attach the payment receipt to the form and submit it. Once this step is completed, your registration will be fully confirmed.Update the receiptYou can upload the email downloaded in PDF sent to you by Culqi “no-reply@culqi.com”, or you can add a screenshot of the receipt.Max. file size: 25 MB. Δ
