Title ---Mr.Ms.Dr.Prof. Family Name First Name Profession: ---FarmerIndustrialistVeterinarianTechnicianScientistsGovt. ServerStudentBusinessmanDealer/SupplierDistributorConsumerMedia PersonOthers Position: Department: Organisation/Company: Address: Zip Code: Town: Country: Phone: Mobile Number: Email Address: Specific diet requirements (vegetarian, allergies …): Recent Photograph (PP size) with fair resolution: Registration Fee You can participate either in one or all day's sessions of Poultry Pathshala, but as the seats are limited, first-come-first base of registration has been adopted. Separate registration fee for each day are applicable but payment can be done at once. Pre-Registration Fee (Online) Day 1 Feb 27, 2020 (Nrs. 2500)Day 2 Feb 28, 2020 (Nrs. 2500)Day 3 Feb 29, 2020 (Nrs. 2000)Day 4 Mar 01, 2020 (Nrs. 3000) On the Spot Registration Fee (if seats remain available) Day 1 Feb 27, 2020 (Nrs. 3000)Day 2 Feb 28, 2020 (Nrs. 3000)Day 3 Feb 29, 2020 (Nrs. 2500)Day 4 Mar 01, 2020 (Nrs. 3500) Total Cancellation Policy All cancellations must be in writing. Cancellations received before 20th Feb. 2020 are subject to a charge of 25% of the registration fees for administrative costs. From 21st Feb. 2020 on, refunds will not be provided. Payment Mode BANK DEPOSITE / TRANSFEReSEWA Bank Account Details: Account Name: NEPAL VETERINARY ASSOCIATION Account No. 01301030037475 Bank Name: NEPAL INVESTMENT BANK LIMITED Bank Branch: Narayangarh, Chitwan, Nepal SWIFT: NIBLNPKT Remarks - Send your Bank deposit receipt within a day to firstname.lastname@example.org with subject "Pathshala registration Fee". - The receipt MUST contain the name of participant. Remarks - Scan the above QR Code for the payment of your total amount through eSEWA - In the Purpose of payment, kindly fill your name and mention "registration of Pathshala" For any further inquiry or support, please contact the Pathshala Secretariat at email@example.com Data Protection Statement & Personality / Image Rights By filling out the registration form, the participant gives consent to process the data provided within the framework of the Poultry Pathshala and allow photographs to be made during the training. This includes, unless registered participants object, all handling needed for the applicant’s participation at the event and for the drafting of a list of participants which will be distributed at the conference, and placing photographs in the pictures gallery or selecting some for articles on the conference in newspaper, or in any other web/printed publication. Right of access: applicants have a right to access and ask for changing or deleting their personal data, which will be kept by Poultry Pathashala. We would like to contact you occasionally to keep you informed of events and other relevant information of Poultry Expo and Pathshala. If you do not wish us to do this, please tick this box to be removed from our general distribution list Registration Confirmation You will receive the registration confirmation through the email and noticification through your mobile SMS.