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CAgE2015 Registration Form
CAgE2015 Registration Form
(CAgE2015)
26 27 January 2015
Faculty of Agriculture, Universiti Putra Malaysia
Selangor, Malaysia
REGISTRATION FORM
Full name
Title
text.
text.
text.
Surname
First Name
Middle Name
Professor
Dr.
Mr.
Mrs.
Ms.
Country
Designatio
Institution
Address
Tel. No.
Fax No.
Make an oral
presentation
Title of Paper/Poster:
Click here to enter text.
Be a participant only
2. Registration Fees
Category of Participant
Registration
Local participant
RM450.00
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
Research Vote:
Bank name
Account Number
: 1215-000-3101-05-8
Date Paid