REGISTRATION FORM
 
International Seminar on Digitalisation of Data for Oil Palm Breeding & Annual General Meeting
26 October 2021, Kuala Lumpur
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| I would like to attend * |
Virtual Seminar
Annual General Meeting (members only)
Virtual Seminar & Annual General Meeting (members only)
Note: The virtual seminar is open to public registration, however the annual general meeting is only for ISOPB member.
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| Salutation |
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| Full Name * |
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| Designation |
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| Organisation * |
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| Industry Sector * |
If OTHERS, please specify :
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| Address |
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| City |
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| Postcode |
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| State |
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| Country * |
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| Telephone |
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| E-mail * |
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| Alternative E-mail * |
(e.g.: @yahoo, @gmail, @hotmail) |
| Are you a Malaysian? * |
Yes
No |
| Malaysian IC No./ Passport No. * |
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| Participant Status * |
ISOPB Member (USD50/ RM200)
Non-ISOPB Member (USD75/ RM300) |
| ISOPB Membership Number |
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| Mode of Payment * |
Cheque /Bank Draft Number
Telegraphic Transfer
Credit Card
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Credit Card Instruction
Please provide and complete the credit card information as follows:- |
| Name as printed on card * |
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| Credit Card Number * |
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| Type of Card * |
Mastercard
Visa |
| Expiry Date * |
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| Payment via telegraphic transfer: |
| Name | The International Society for Oil Palm Breeders |
| Account No | 8002249024 |
| Swift code | CIBBMYKL |
| Address | CIMB Bank, Ground & First Floor, Block A-2 & A-3, MKH Avenue, Jalan Avenue 1A, 43000 Kajang, Selangor, Malaysia |
All bank charges are to be borne by the participant.
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Kindly email a copy of the telegraphic transfer slip to:
Mr. Norhafizal Abdul Halim (ISOPB Secretariat)
WhatsApp : +60106531515
Email : secretariat.isopb@gmail.com
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Cancellation and Refund Policy
A refund of 50% will be made for written cancellation received by 15 September 2021. Refund will not be applicable thereafter. A substitute participant is allowable at no additional cost.
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Note: The organisers reserve the right to make changes without any notice.
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