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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=windows-874" /> <title>56 �� ʶҺѹ�Ԩ�¾ĵԡ�����ʵ��</title> <style type="text/css"> <!-- .style3 {font-family: "MS Sans Serif"; font-size: medium; } .style4 { color: #990000; font-weight: bold; } .style5 {color: #990000} .style6 {color: #0000FF} --> </style> </head> <body> <table width="35%" border="0" cellspacing="0" cellpadding="0"> <tr> <td colspan="2"><p> </p> </td> </tr> <tr> <td width="21%" bgcolor="#99CCFF"> </td> <td width="79%" bgcolor="#99CCFF"><div align="right"><a href="index.html">˹���á</a>[<a href="http://bsri.swu.ac.th">BSRI</a>][<a href="http://www.swu.ac.th">SWU</a>]</div></td> </tr> <tr> <td align="left" valign="top" bgcolor="#E1FDFC"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td bgcolor="#CCEDFF"><span class="style3"><a href="schedule55.asp">��˹����</a></span></td> </tr> <tr> <td bgcolor="#E1FDFC"><span class="style3">Ẻ�����ŧ����¹ ��������ҹ</span></td> </tr> <tr> <td bgcolor="#CCEDFF">���Ѥâ��觼ŧҹ</td> </tr> <tr> <td bgcolor="#E1FDFC"><a href="proceeding.pdf">��èѴ�ٻẺ������</a></td> </tr> <tr> <td bgcolor="#CCEDFF">��˹���ù��ʹͧҹ�Ԩ��</td> </tr> <tr> <td bgcolor="#CCEDFF">ŧ����¹ online</td> </tr> </table> <br /> </td> <td align="left" valign="top" bgcolor="#FFFFFF"><div align="center" > <p><form name="form1" method="post" action="save_regis.asp"> <p> </p> <p align="center"><strong>���Ѥ������������ ��û�Ъ���Ԫҡ�� "����Ԩ�·ҧ�ĵԡ�����ʵ�����;Ѳ�Һؤ������ѧ��"</strong> �ú�ͺ 56 ��<br /> �ѹ����ʺ�� ��� 25 �ԧ�Ҥ� 2554</p> <p><strong>��鹵��û�������(��Ѥü�ҹ�к�)<br> </strong>1. �����������ú�ء��ͧ����˹�***<br> 2. ������ <<< Submit >>><br> </p> <table width="100%" border="0" cellspacing="1"> <tr> <td width="16%" bgcolor="#EDEDEB"><div align="right"><strong>�ӹ�˹�Ҫ���</strong></div></td> <td width="84%" bgcolor="#EDEDEB"> <select name="fname"> <option value="���">���</option> <option value="�ҧ">�ҧ</option> <option value="�ҧ���">�ҧ���</option> </select> * </td> </tr> <tr bgcolor="#F9F9F7"> <td><div align="right"><strong>����</strong></div></td> <td> <input name="name" type="text" maxlength="255"> * </td> </tr> <tr bgcolor="#EDEDEB"> <td><div align="right"><strong>���ʡ��</strong></div></td> <td> <input type="text" name="sname"> * </td> </tr> <tr bgcolor="#F9F9F7"> <td><div align="right"><strong>���˹觷ҧ�Ԫҡ��</strong></div></td> <td> <select name="academic" id="academic"> <option value="��ʵ�Ҩ����">��ʵ�Ҩ����</option> <option value="�ͧ��ʵ�Ҩ����">�ͧ��ʵ�Ҩ����</option> <option value="��������ʵ�Ҩ����">��������ʵ�Ҩ����</option> <option value="�Ҩ����">�Ҩ����</option> <option value="���Ե/�ѡ�֡��">���Ե/�ѡ�֡��</option> </select> * </td> </tr> <tr bgcolor="#EDEDEB"> <td><div align="right"><strong>ʶҹ���ӧҹ</strong></div></td> <td> <textarea name="addwork" cols="60" rows="3"></textarea> * </td> </tr> <tr bgcolor="#F9F9F7"> <td><div align="right"><strong>�������</strong></div></td> <td> <textarea name="address" cols="60" rows="3"></textarea> * </td> </tr> <tr bgcolor="#EDEDEB"> <td><div align="right"><strong>���Ѿ��</strong></div></td> <td> <input type="text" name="tel"> * </td> </tr> <tr bgcolor="#F9F9F7"> <td><div align="right"><strong>�����</strong></div></td> <td> <input type="text" name="fax"> * </td> </tr> <tr bgcolor="#EDEDEB"> <td><div align="right"><strong>E-mail</strong></div></td> <td bgcolor="#EDEDEB"> <input name="email" type="text" size="40"> * </td> </tr> <tr bgcolor="#F9F9F7"> <td colspan="2"> <p><strong>��Ѥõ�����ѹ���- 31 �á�Ҥ� 2554</strong></p> </td> </tr> <tr bgcolor="#F9F9F7"> <td><div align="right"><strong>�ҡ��ͤ���</strong></div></td> <td> <textarea name="mess" cols="60" rows="3"></textarea> * </td> </tr> <tr bgcolor="#F9F9F7"> <td height="70"> </td> <td><p align="right">�����Ѥ�ŧ��� ...............................................................................<br> <br> (............................................................................) </p></td> </tr> <tr bgcolor="#EDEDEB"> <td colspan="2"> <div align="center"> <input type="submit" name="Submit" value="<<< Submit >>>"> </div></td> </tr> </table> <p> </p> </form></p> <p>�ͺ��������������������<br /> ʶҺѹ�Ԩ�¾ĵԡ�����ʵ�� ��� <br /> �آ���Է 23 �Ѳ�� ��� 10110<br /> ��. 0-2649-5000 ��� 7600 ����� 0-2649-5182<br /> ������� bsri@swu.ac.th</p> <p> </p> </div></td> </tr> <tr> <td bgcolor="#99CCFF"> </td> <td bgcolor="#99CCFF"> </td> </tr> </table> </body> </html>