MALAYSIAN PALM OIL BOARD Registration Form The 40th MPOB Oil Palm Products Surveying Course & Examination 2026 17 - 20 August 2026 Location: Pasir Gudang, Johor
Full Name *		IC Number/Mykad*
Gender	Male Female
Names of Employer
Employer’s Address		Mailing Address


Employer’s City		City
Employer’s Postcode		Postcode
Employer’s State		State
Employer’s Country		Country
Employer’s E-mail *		E-mail *
Employer’s Alternative E-mail*	*(e.g.: @yahoo, @gmail, @hotmail)*	Alternative E-mail*	*(e.g.: @yahoo, @gmail, @hotmail)*
Employer’s Telephone		Telephone
Employer’s Faxsimile		Faxsimile
MPOB License No.		Designation
Industry Sector *	If OTHERS, please specify :
Highest Academic Qualification		Working Experience (year)
Please state your area of profession	If OTHERS, please specify :
Special Dietary Request (Vegetarian)	Yes No
PAYMENT FOR REGISTRATION FEE
Payment Instructions	Telegraphic Transfer (T/T) Invoice Note: Please email copy of payment slip to nurul.aishah.musa@mpob.gov.my/ nornadiya@mpob.gov.my
If the payment method is "Invoice", please fill in the following information:
Organisation Name
Address
Officer in Charge
Telephone No.
Email