Panelist Application System
This is a simple google-form created to collect basic information about the profile of a panelist for upcoming Agile Network India event.

You can nominate yourself or a person you feel would add valuable perspectives as part of the panel discussion. 

Note: Request to share correct information, as the details shared will be used on website and social channels.

The intent of this form is collect the information about Panelist, and informal the panelist about accepting the 'Review Process' of Agile Network India, and agree to the 'Code of Conduct Policy', ' Privacy Policy',  'Speaker Engagement Policy' collectively called - 'Terms & Condition' as mentioned on at www.agilenetworkindia.com 

Before filling this form you must read all the details carefully and agree to the policies and processes as mentioned at www.agilenetworkindia.com

Contact us at community@agilenetworkindia.com for any questions.

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Email *
Name *
Email *
* Preferably Gmail id
Company Name *
Please mention clear, complete and exact 'Company name' to be used at ANIn event and socials taking the permission from your employer. Inform ANIn team about any limitation and restriction you have in mentioning the company details.
Designation *
Please mention clear, complete and exact designation to be used at ANIn event and socials seeking the permission from your employer. Inform ANIn team about any limitation and restriction you have in mentioning the designation details.
Contact Number *
Location *
Please mention the City name you are currently based at.
Panelist Bio *
Please mention clear, complete and exact Bio to be used at ANIn event website, banner and socials.
Panelist's Picture *
Please share a drive link to downland a picture to be used at ANIn website and social channels.
Captionless Image
LinkedIn Profile *
Type complete URL.
Select Event *
Select an appropriate event. Please fill in 'Open Submission' and mention in next section to inform us about the event, if not listed yet here.
Why you feel you/he/she can be a Panellist? *
Please write a few key points, so the reviewers can learn about the panelist. Take an attempt to share your view point about the panel topic.
I have received approval to speak and present from my employer.
 *
Please write a few key points, so the reviewers can learn about the panelist. Take an attempt to share your view point about the panel topic.
Submit
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