MALAYSIA-INDIA PALM OIL TRADE FAIR & SEMINAR 30 July 2019 * MUMBAI, INDIA SEMINAR REGISTRATION FORM Please fax this form to MPOC at Fax No. +609 - 7806 2272 “Tile (a Ms! Mrs De Other): Name (Pease undetine snare): Designation : Fax: REGISTRATION FEES Registration Fee (Per Person) Single (1 person) TZ rmsoo ‘Amount Due 1 uso1s0 MODE OF PAYMENT : PLEASE TICK Malaysian Delegate International Delegate 1 cheaue-Payabito“Malaysian Pam Oi Coun” 1 cheque Bank ra Made Payee to Cheque No “Malaysian Pan 1 Comet Le Cheque No (1 Bantinto ce Bank deals CIMB Bank, No, 60-6, Jalan SS6/4, 47901 Kelana Jaya, Selangor Malaysia, SWIFT CODE :CIBBMYKL Account Ho, 200 218 3566 mal payment slp to Ismall@mpoc.org.my or emma@mpoc.org.my Mal or Fax orm to : The Secretariat Tel : 4603-7806 4097 Fax : +603. 7806 2272 india Palm Oil Trade Fair & Seminar 2019 Contact Persons Malaysian Palm Oil Council (MPOC) Muhammad Kran Email: kharibi@mpoeorg.my 2nd Floor, Wsma Saw, Lot 8, S56 Jalan Perbandaran 47301 _Bhavna Shah Email: bhayna@mpoc.orgin Kelana Jaya, Solange, Malaysia Nuradioah Mohd Raza Emall-nuradiban@mpoc.org my For office use only Dated recoived Payment Details Cheque No Amount