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Conference on Agri Entrepreneurship Development: Issues and Trends

(CAgE2015)
26 27 January 2015
Faculty of Agriculture, Universiti Putra Malaysia
Selangor, Malaysia

REGISTRATION FORM

Full name

Title

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Surname

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1. I wish to (please tick where applicable):

Make an oral
presentation

Title of Paper/Poster:
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Be a participant only

2. Registration Fees

Category of Participant

Registration

Local participant

RM450.00

Local student participant*

RM300.00

International participant

Free

* Student members are requested to submit a copy of their student ID or similar document upon
submission of the registration form.
* International student studying in Malaysian universities will be regarded as local student participant.

3. Payment

Electronic transfer (EFT):

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Cheque/Bank draft:

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Research Vote:

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Details for payment:


Payment to

: Persatuan Ekonomi Pertanian Malaysia

Bank name

: CIMB Bank Berhad

Account Number

: 1215-000-3101-05-8

Kindly email the registration form and proof of payment to


cageupm@gmail.com

For more information, please contact:


Secretariat
Conference on Agri-Entrepreneurship Development
Faculty of Agriculture, Universiti Putra Malaysia
Tel: +603 8947 4936 / 4904

Date Paid

Fax: +603 8940 8213


E-mail: cageupm@gmail.com

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