Registration Form for GCMS & Chemometrics Workshop

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Workshop on Gas Chromatography-Mass Spectrometry (GCMS) and Chemometrics
Date: 1st - 3rd October 2019
Venue: Seminar Room & Instrument Room 3, Halal Products Research Institute, Universiti Putra Malaysia

LIMITED SEATS: MAXIMUM 20 PARTICIPANTS.
No refund for cancellation.

Title

Name *

Organization *

Position

Contact Number (Mobile) *

Contact Number (Office)

E-mail *

I will attend: *

GCMS Workshop only.

Chemometrics Workshop only.

GCMS & Chemometrics Workshop.

Registration Fee (For student: please bring a copy of your Matrix/Student Card during registration) *

RM 600.00 (Student) GCMS Workshop only

RM 200.00 (Student) Chemometrics Workshop only

RM 800.00 (Student) GCMS & Chemometrics Workshop

RM 800.00 (Government Agency & Private Sector) GCMS Workshop only

RM 300.00 (Government Agency & Private Sector) Chemometrics Workshop only

RM 1100.00 (Government Agency & Private Sector) GCMS & Chemometrics Workshop

Payment Method *

Journal Transfer (for UPM participant only)

Bank Draft/ Cheques

Electronic Fund Transfer (EFT)

Please provide your Vot No. if using Journal Transfer (compulsory)

Where do you find our course? *

Brochure/ Flyer

Facebook

Instagram

Email/ WhatsApp Blast

Other:

Required

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