19th IFOAM Organic World Congress
Jaivik Krishi Vishwa Kumbh 2017
www.owc.ifoam.bio
9 – 11 November 2017 India Expo Centre and Mart, Greater Noida, India
INDIAN ORGANIC FARMERS DELEGATE REGISTRATION FORM
Please register the following for the congress:
Name:
Address:
City:
State:
Pin code:
Country:
Phone:
Mobile:
Email:
Number of years practicing organic farming:
years
List of crops grown:
Short statement of what you would like to say of your work on organic farming (few lines):
Delegate Registration fee:
Category
Indian Organic Farmers
Service tax @ 14%
Swachh Bharat cess @ 0.5%
Total fee
Modes of Payment:
Registration fee in INR
2000 (per delegate)
280
10
2290
Hindi
Odia
Gujarati
Tamil
F
Demand Draft
Wire Transfer
Amount in words:
Cheque / Bank draft number:
Dated:
Issuing Bank:
*The amount can be deposited in the following account:
Bank Name & Branch - Corporation Bank, Mapusa
Account - 019800101021416
IFSC code - CORP0000198
Dinner
Dinner
Dinner
Language
English
Marathi
Cheque
M
Payment made by Cheque / Bank draft to be drawn in favor of ‘The Organic Farming
Association of India’ payable at Mapusa, India.
* The Government tax rate as prevailing at the time of final billing will be applicable.
Please select your preference
Meal
Day 1
Breakfast
Lunch
Day 2
Breakfast
Lunch
Day 3
Breakfast
Lunch
Gender:
Kannada
Telugu
Malayalam
Note: Last date for registration is 31 December 2016. If the application is rejected, the delegate
fee will be refunded.
Terms and Conditions:
This delegate fee is applicable for Indian nationals only. | Incomplete registration and forms without payment will not be accepted. | Payment in parts will not be accepted. |
Last date of registration & payment is 31 December 2016 | No cancellations will be entertained after 31 March 2017.
Declaration: We have read the terms and conditions and in the event of the application being accepted (wholly or in part), we undertake to observe and bound by them. By
signing a copy of this delegate registration form, we are hereby confirming our participation in OWC 2017.
Name:
Date:
Signature
Please fill up & mail the form to: Registered Office: The Organic Farming Association of India, OFAI Central Secretariat, G8, St Britto’s Apartments,
Feira Alta, Mapusa 403407, Goa. Email: [email protected] Website: www.ofai.org
Organised by:
The Organic Farming Association of India, OFAI Central Secretariat, G8, St. Britto’s Apartments,
Feira Alta, Mapusa 403407 Goa, India Tel: +91 832 255913/2256479
E: [email protected] W: www.ofai.org
PDA Trade Fairs “PDA House”, No. 32/2, Spencer Road, Frazer Town, Bangalore - 560 005, India.
Tel:+91-80-4250 5000 Fax: +91-80-2554 2258 E: [email protected] W: www.pdatradefairs.com
Co-organised by:
Ministry of Agriculture &
Farmer Welfare, Govt of India