Regular Registration IEEE-LANANO 2025 access form 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 IslandsAffiliation(Required)Country of Affiliation(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?(Required)Select your optionYesNoIf you are a student, present a document that proves it (IS, Letter, Certificate or enrollment form college).Max. file size: 10 MB. Are you currently an IEEE member?(Required)Select your optionYesNoIEEE Membership NumberAccompanying person(Required)The fee for your guest is $60 per person and includes an additional pass for one social activity, a gift from the event, and coffee breaks. Yes, just one more person.NoName and surname(Required)Type of ID(Required)Select your optionDNI (peruvian ID)PassportNumber ID(Required)Select the social activity for your accompanying(Required)Select your optionCity TourConference DinnerYoung Professionals Networking EventPaymentType of receipt for Peru(Required)Boleta ElectrónicaFacturaIf you are a natural person, your ID number will be used to issue the “BOLETA ELECTRÓNICA”.Company Name (Razon social)(Required)RUC Number(Required)Billing Address (Dirección Comercial)(Required)Type of receipt(Required)Invoice for personInvoice for institutionIf you are a natural person, your ID number will be used to issue the “INVOICE”.Business Name / Legal Name(Required)Tax ID / VAT Number(Required)Billing Address(Required)For example: 123 Main Street, London, SW1A 0AA, United KingdomEmail for Billing(Required) Registration Fee(Required)IEEE Member R9Non-IEEE Member R9Student R9IEEE Life Member R9IEEE Member Outside R9Non-IEEE Member Outside R9Student Outside R9IEEE Life Member Outside R9VirtualNOTE: The Student R9 in-person registration fee for IEEE-LANANO 2025 includes the welcome reception, coffee breaks, conference sessions, merchandising, digital certificate and social activities: Young Professionals Networking Event and City Tour. NOTE: Your in-person registration fee for IEEE-LANANO 2025 includes the welcome reception, coffee breaks, conference sessions, merchandising, digital certificate and social activities: Conference Dinner and City Tour. NOTE: The virtual registration fee for IEEE-LANANO 2025 includes the conference sessions and digital certificate. Because the Conference promotes In-Person participation, the virtual participation quotas are limited to 40 participants. Accompanying person Fee Price: NOTE 2: The accompanying person fee includes an additional pass for a social activity, an event gift, and coffee breaks. NOTE 2: The virtual fee does not include any companion. TOTAL 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 “IEEE Member R9 – REGULAR” Pay of CulqiLink for “IEEE Member R9 + 1 guest – REGULAR”Pay of CulqiLink for “Non-IEEE Member R9 – REGULAR”Pay of CulqiLink for “Non-IEEE Member R9 + 1 guest – REGULAR” Pay of CulqiLink for “Student/IEEE Life Member R9 – REGULAR” Pay of CulqiLink for “Student/IEEE Life Member R9 + 1 guest – REGULAR” Pay of CulqiLink for “IEEE Member Outside R9 – REGULAR” Pay of CulqiLink for “IEEE Member Outside R9 + 1 guest – REGULAR” Pay of CulqiLink for “Non-IEEE Member Outside R9 – REGULAR” Pay of CulqiLink for “Non-IEEE Member Outside R9 + 1 guest – REGULAR” Pay of CulqiLink for “Student/IEEE Life Member Outside R9 – REGULAR” Pay of CulqiLink for “Student/IEEE Life Member Outside R9 + 1 – REGULAR” Pay of CulqiLink for “Virtual – REGULAR” Send an email to ieee.nanoperu@gmail.com with the names and identification numbers of your guests so that the Organizing Committee can evaluate your request and, if possible, assign you a special link for the payment of your registration and that of your group of guests. You will complete your registration only after payment with the special link.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 receipt(Required)You 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
