Registration Form: Agriculture Technology Seminar Series XXII

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SMART PLANTATION MANAGEMENT AND SUSTAINABILITY

Date: 26th November 2022 (Saturday)
Time: 9.00 am - 1.00 pm
Venue: Tan Sri Lee Shin Cheng Lecture Theatre (DDK1)

Important Notes (For UTAR Students only) :
1. Please access the form using your 1utar email.
2. Students must complete the sign in and sign out will be awarded in order to receive 10 USSDC points (Life-long learning and Information management).
3. USSDC points will be automatically updated within 14 working days. Students do not need to claim online.

Email *

Name (As per IC / Passport) *

Salutation (Prof/Dr/Mr/Mdm/Ms/Datuk/Datin/Dato) *

Where are you from? *

Students

Academia

Public

Gender *

Male

Female

Campus (For UTAR students and staffs only) *

Sungai Long

Kampar

Not applicable

UTAR Student/Staff ID (For non-UTARians, fill in 'nil') *

Programme of study (For students only - e.g. BSc. Postharvest Technology)

Level of Study - Bachelor, Masters, PhD (For students and academicians only)

Name of University (For students and academicians only. For others, please fill in 'nil'.) *

Name of Affiliation/Institution/Company (For public only. Others, please fill in 'nil'.) *

Payment Mode *

RM 20 - Industry and public

RM 10 - UTAR staff, UTAR alumni, non-UTAR students

RM 5 - UTAR students

Please kindly remit the payment latest by 24 November 2022. Thank you.

Note: Fees collected will be inclusive of food and beverages. Surplus will be donated to the development of the UTAR hospital.

Bank transfer ( Bank Name: PUBLIC BANK, account number: 3118325015, account name: UNIVERSITI TUNKU ABDUL RAHMAN. PLEASE FORWARD A COPY OF BANK TRANSFER RECEIPT TO: Azida Illyani Binti Anas <azida@utar.edu.my>

Cheque (Cheque must be made payable to: UNIVERSITI TUNKU ABDUL RAHMAN)

Questions for the speakers, if any

Disclaimer

Upon the registration for this Event, I am agreeing:

(i) to abide by all the rules & regulations of this Event.

(ii) for the Organizers to use any of my personal data, video, audio or photographs taken before, during and after this Event for any other promotional activities.

(iii) that the Organizers shall have the right, to the full extent permitted by law, to use and process my personal data, images, video, photographs, visual or audio recordings perpetually (collectively referred to as “Personal Data”) from the date of my registration herein in whatever manner that it shall deem fit in its absolute discretion.

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