REGISTRATION FORMS

. Early–Bird Fee
(paid until 15th may 2020)
Regular Fee
(paid from 15th june 2020)


Speaker
Professional
(Paper)
350 USD (1200 soles) 400 USD (1350 soles)
Student
(Paper)
250 USD (850 soles) 300 USD (1000 soles)
Poster 120 USD (400 soles) 170 USD (580 soles)

Non-Speaker
Professional 100 USD (350 soles) 150 USD (500 soles)
Student 60 USD (200 soles) 70 USD (250 soles)



PARTICIPANT INFORMATION

First name
Surname
Email
Title

INVOICING INFORMATION

Organization
Department
Organization Address
Country
Attach Voucher File (jpg format)
  (Suggested Formats: .jpg | Max 1Mb | Example: Perez_other.jpg)
Moneda Nacional Soles (S/.)
Banco CRÉDITO DEL PERÚ (BCP)
Nro Cuenta Corriente 191-0031059-0-26
CCI 00219100003105902650
RAZÓN SOCIAL FUNDACIÓN PARA EL DESARROLLO AGRARIO
RUC 20101259014
Internacional Money US Dollars ($)
Bank BANCO DE CRÉDITO DEL PERÚ (BCP)
Current Account Number 191-0417171158
Organisation name FUNDACIÓN PARA EL DESARROLLO AGRARIO
Taxpayer Identification Number (RUC) 20101259014

Registration

To facilite the set up of the technical program, speaker are required to be register before May 15, 2020.

In order that your registration be successful, please send your voucher of bank transfer fee to the E-mail: icnb@lamolina.edu.pe