BUYER APPLICATION FORM Organisation Name: Postal Address: Country: Phone (Country Code, Number): Fax(Country Code, Number):

PRIMARY DELEGATE (primary contact): all information/updates from the Secretariat will be forwarded to this contact/address. You must ensure that updates are passed on to other registered delegates. First Name: Last Name: Designation: Email: Expected Date of Arrival: Expected Date of Departure: Accommodation Details (Please provide the name of the hotel which you will be using)

ADDITIONAL DELEGATE #2 First Name: Last Name: Designation: Email: Expected Date of Arrival: Expected Date of Departure: Accommodation Details (Please provide the name of the hotel which you will be using)

ADDITIONAL DELEGATE #3 First Name: Last Name: Designation: Email: Expected Date of Arrival: Accommodation Details (Please provide the name of the hotel which you will be using)

COMPANY BIOGRAPHY (no more than 100 words):

Please indicate what you industries you are looking to explore by ticking the relevant boxes Fisheries Manufacturing / Production Agriculture / Processing Forestry Trade and Other Services: Please specify