Request for Delegate Registration for International Conference

Full Name:

Organization/Department Name:


Pin code:


Mobile No.:
Telephone No.:


Farmers Group Certification Agencies Eco-Tourism University Exporter Retailer Ayurveda Food Industry Government Publication House Input Manufacture Research & Development Quality Lab Medicinal Plant Producers Importers Others (Please Specify) Wholesaler Cosmetic Industry Entrepreneur Processor

Organic Status

Certified In Conversion PGS Not Certified

Product/Services Offered

Charge Per Person

No of Person Attending

Farmers/Students : Rs 200/-
Central/State Govt. Officer/Scientists : Rs 1000/-
NGOs : Rs 500/-
Private Sector : Rs 1000/-
Farmers Workshop : Rs 100/-

Booking Summery

Amount Payable

Payment Mode

Payment towards Congress Registration (Delegate Registration) has to be done through DD/Cheque/NEFT to 'ICCOA' payble at Bangalore.

Bank details:
ICCOA, A/C 10334026174, SBI, Jayanagar 4 th T block, IFSC- SBIN0015658

For more details please contact

Mr. Jaydip Roy ( Mob-9901878511 ), or Ms. Bindu S ( Mob-9008748074 )


ICCOA,58/3,39/A Cross, 11th Main, 4th T block, Jayanagar, Bangalore-560041

Tel-080-26641152,53, Fax-080-26641154

Note: You are sending request from this page. Registration will be confirmed only after making payment.