Registration Form


National Seminar on Palm Oil Milling, Refining, Environment and Quality (POMREQ) 2022
20 - 21 December 2022
Location: The Royal Chulan Hotel, Kuala Lumpur

Organized by:
PARTICIPANT DETAILS
*
Name Salutation
*
Organisation Designation
*
Industry Sector
If OTHERS, please specify :
Address
City Postcode
State Country
*
Telephone Facsimile
*
Email Alternate Email* (contoh.: @yahoo, @gmail, @hotmail)
*
IC No.


Participant Status Participant Industry
Poster Presenter
Student

Note:
For student, kindly submit photocopy of your student ID and a professor must confirm student status on university letterhead. Also, please fill-in your Student No. If not, the conference fee will not be discounted.		Exhibition* Yes
No

Note:
For booking and enquiries on booth selection, please contact:
Mohd Firdaus Othman
Tel: 03-8769 4463
Fax: 03-8926 2971
Email: fidos@mpob.gov.my

*
Student No.



Payment Instructions Payment is made by Telegraphic Transfer (T/T) for the above total amount due
Invoice
Cheque

BeneficieryLembaga Minyak Sawit Malaysia
Bank BeneficieryCIMB Islamic Bank Berhad
Tingkat Bawah dan Tingkat Satu
Blok A-2 & A-3 MKH Avenue
Jalan Avenue 1A
43000 Kajang, Selangor, Malaysia
CIMB Bank current account8600471810
Swift CodeCTBBMYKL


*Please send a copy of bank in slip/cheque for tracing payment to Nurul Aishah Musa / Mariah Husna at nurul.aishah.musa@mpob.gov.my / mariah.husna@mpob.gov.my