CEVETBD 2022 Registration

Category *

Please fill out the entire form in English language only

Personal Information

Name *

First

Last

IMPORTANT: as per National ID

Gender *

Mobile phone number *

IMPORTANT: please only use one mobile number for one participant, DO NOT use the same mobile number for another participant

Confirm mobile phone number *

Email *

Confirm Email

IMPORTANT: please only use one email address for one participant, DO NOT use the same email address for another participant

Title of bachelor's degree obtained *

IMPORTANT: only DVM, BSc (Vet Sc & AH), and BSc AH (Hons.)

University/College *

Other university/college

Year of passing *

Highest academic degree *

BVC registration No. *

Affiliation

Organization *

University/College *

Other university/college

Designation *

Department *

Office address

Office name

House No.

Road No.

Upazila *

District *

Post office/Postcode

Select the concurrent session(s) that you plan to attend

Poultry health and production

Poultry health and production

Dairy health and production

Dairy health and production

Companion animal health

Companion animal health

Wild & Zoo animal health

Wild & Zoo animal health

Epidemiology & one health

Epidemiology & one health

Participant travel arrangement (for shuttle bus scheduling)

Tentative travel mode *

Approximate arrival date and time *

Date

Time

Participant accomodation arrangement (accomodation will be allocated on a first-come, first-served basis)

IMPORTANT: considering that you are the first participant, please write the details of the participant(s) with their consent, whom you would like to share the accomodation with. Please note that they must complete their registration process as well by giving your contact details in the registration form, to ensure your successful participation in the conference.

Name of second participant *

First

Last

IMPORTANT: as per National ID

Mobile phone number of second participant *

IMPORTANT: same mobile phone number as used in CEVETBD registration

Email address of second participant *

IMPORTANT: same email address as used in CEVETBD registration

Name of third participant

First

Last

IMPORTANT: as per National ID

Mobile phone number of third participant

IMPORTANT: same mobile phone number as used in CEVETBD registration

Email address of third participant

IMPORTANT: same email address as used in CEVETBD registration

bKash payment details

Payment Date *

bKash Transaction ID *

IMPORTANT: ten alphanumeric characters of the transaction ID without any prefix/suffix and in capital letters, if 0, O, 1, I etc. is written in the ID, please notice the difference between 0 [numerical zero], 1 [numerical one], O [alphabet O], I [alphabet I] in your bKash transaction ID

bKash Reference *

IMPORTANT: while making the bKash payment, as reference, please use the same mobile number of the participant as used in the “Mobile phone number” field of this form, NOT the bKash agent number.

Phone