Application form for participation in the Conference
"
*
" indicates required fields
Step
1
of
4
- About Company
25%
Resident of the Republic of Kazakhstan
*
Resident
Non-resident
Is your Company registered in the territory of the Republic of Kazakhstan?
Country
Kazakhstan
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Specify the country of incorporation if the Company is not a resident of the Republic of Kazakhstan
Information about your Company
Name of the Applicant Company
*
Full name of the Company, indicating the legal form (LLP, KH, JSC, etc.)
Principal activity
*
Trading
Trading broker
Insurance broker
Agricultural production
Seed production
Processing of agricultural products
Pasta production
Grain storage
Grain transshipment
Surveying services
Transportation and logistics services
Equipment supply
Supply of machinery
Supply of plant protection products
Financial services
Legal services
Consulting services
Market analysis
MEDIA
Other
Company name in English
Indicate if your Company name is not written in Latin characters. For placement in the Catalog and on the badge
Company contacts
Postal code
*
Address
*
Street, dist-ct, etc.
Area
City / settlement
*
Phone
*
Please write only one phone number
Email
*
Web
Authorized person of the Company
Full name of the person authorized to sign the agreement on participation in the AGRICOM Conference
Last name
*
First name
*
Patronymic
Last name in English
If your first and last name are not spelled in Latin. For placement in the Catalog and on the badge
First name in English
If your first and last name are not spelled in Latin. For placement in the Catalog and on the badge
Conference participant
Full name of the person who will participate in the AGRICOM Conference
Last name
*
First name
*
Patronymic
Last name in English
If your first and last name are not spelled in Latin. For placement in the Catalog and on the badge
First name in English
If your first and last name are not spelled in Latin. For placement in the Catalog and on the badge
Participant photo
Accepted file types: jpg, jpeg, png, gif, Max. file size: 25 MB.
For placement in the Conference Catalog
Payment details
BIN
Bank name
*
SWIFT
*
Kbe
Bank account
*
Bank INN
Bank KPP
Bank OKVED
Bank OGRN
Bank correspondent
Transit bank address
Transit bank
Transit bank account
Payment instructions
Comments and instructions on payment
Additional information
Comments on the application
Participation in previous Conferences, other activities of your Company and other necessary details.