Registration Form WPLACE-2017 If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Salutations Dr.Mr.Mrs/Ms. Name * Passport No. Designation Organization Address * City * Post Code * Phone/Mobile * Fax Email * Conference Module * Agriculture & BiotechnologyBiorefinery, Health, & BioengineeringEnvironment, Socio Economic, & Business Special Dietary Request: Vegetarian YesNo Payment Instruction -Registration Fee (please tick where applicable) Indonesia Conference (IDR) * Standard Fee - 5.000.000,-On Site - 5.500.000,-Poster Presenter - 2.500.000,-No Field Clinic & Fieldtrip * ISOPA Field Clinic (Member) - 1.000.000,-ISOPA Field Clinic (Non Member) - 1.200.000,-Downstream Fieldtrip - 1.000.000,-No Overseas Conference (USD) * Standard Fee - 500On Site - 550Poster Presenter - 250No Field Clinic & Fieldtrip * ISOPA Field Clinic (Member) - 100ISOPA Field Clinic (Non Member) - 120Downstream Fieldtrip - 100No Total Confirm that you are not a bot *
