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

REGISTRATION FORM
Passport Data
  Name   Sex
  Passport No.      
  Issuing Office      
  Issuing Date      
  Expire Date      
  Date of Birth      
  Nationality      
Contact Details
  Postal Address
  Cell Phone No.
  Fax No.
  Email Address
Itinerary
Singapore (ETA) Through Date ETA
 Flight No.
Batam (ETA) Through Date ETA
    
Singapore (ETD) Through Date ETD
 Flight No.
Batam (ETD) Through Date ETD
    
Payment should made to
Beneficiary : YAYASAN KVMI  
Bank Name : Bank Mandiri Cabang Sunter Paradise 12011  
Account No : 120 00 0622 3270  
SWIFT CODE : B E i i i D J A  

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.