REGISTRATION FORM
  
The 4th Asian Vegetarian Congress
  
"Vegetarian: Healthy and Eco-friendly for All"
 
   

Passport Data
  Name   Sex
  Passport No.      
  Issuing Office      
  Issuing Date      
  Expire Date      
  Date of Birth      
  Nationality      

Contact
  Postal Address  
  Cell Phone No.  
  Fax No.  
  Email Address  

Itinerary
  Arrival in Singapore through date ETA
 Flight No.
  Departure from Singapore through date ETA
 Flight No.
  Arrival in Batam through date ETA
    
  Departure from Batam through date ETA
    

Payment made to
  Bank
  
  Bank Address
  
  Account No :
  
  Beneficiary :
  
( Please put a remark of the participant's name in transfer slip ).

We also offer a Post-Congress One-Day Outbound Tour in Singapore.
Notification of the charges and payment will be made in Batam.

I would like to receive a copy of on-line registration confirmation.