Registration Form: Business and Public Sector Delegates RM_StatsI participate as a *Select an optionBusiness Sector Delegate (directors/managers/business owners etc.)Public Sector DelegateFirst Name *Last Name *Sex *Select an optionMaleFemaleEmail *Mobile Phone *Job Title / Position *Company / Institution *Full Address and Country *Flight NumberDate of ArrivalTime of ArrivalDate of DepartureTime of DepartureIf you have booked your hotel, please provide the nameWould you like to attend the Women's Forum? *Select an optionYesNoWill you join us on June 26th for an excursion trip/sightseeing? *Select an optionYesNoDo you have any health issues that we should be aware of? *Select an optionYesNoIf yes, please give us more information.Will you attend Gala Dinner? *Select an optionYesNoI do not eat.... *I do not drink.... *Do you have any other comments?Upload the Proof of Payment *Upload your recent photo (passport style) *I allow the organizer to included my name, affiliation and contact details into the public List of Conference Participants. * *Select an optionYesNo Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
