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(1)

Registration form

1. Name of the participant : ………

2. Designation/position :……….

3. Address :

(Institution details) …………..………

……….……….

………..………

Mobile phone and email Passport number (foreigner) or NID card number (local)

:………….….………

:………..………

4. *Participant category: : a) Foreign delegate; b) Local delegate

(Please tick your category) c) Postgraduate student; d) Accompanying person/guest

5. Presentation title with author(s) name

:……….………..

………..……….

……….………..

Signature of participant and date

:

N.B. Please fill up the form and send it back to the Seminar secretariat by June 20, 2018 to Head, Dept. of Animal Nutrition, Bangladesh Agricultural University, Mymensingh-2202; Bangladesh at [email protected]; [email protected]

*Registration fee for the category (a) is 100.00 USD upon arrival, (b) 500.00 BDT, (c) 200.00 BDT (d) Foreign:

100.00 USD, Local: 500.00 BDT. Payment may be at seminar secretariat and exceptional cases during seminar (registration desk). Registration fee covers seminar materials, refreshment, lunch, and one dinner.

SL No.:

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