Registration Form to Participate in NYC Summit
The purpose of this questionnaire is to collect the necessary information regarding yourself as well as your probable suggestions to be implemented in Iran.
After submission, a technical panel will review the information and choose the best ones, based on multiple factors.
The invitation letters of meeting Dr. Sattari during his visit to New York City in Late September 2017 will be sent separately via email.
Email address *
First Name *
Last Name *
Country of Residency *
Iranian national ID number *
Please enter your Iranian national ID (Code -e- Melli) as a whole number.
First Nationality *
Phone Number
For further info, reminders, and in the case of any changes in the plans.
Place you work at *
Position *
Last academic degree *
University of your last degree *
Short Biography *
Introduce yourself as short as possible highlighting your selected achievements
How many years of academic experience? *
Just enter a whole number (no decimal).
How many years of professional experience? *
Just enter a whole number (no decimal).
Your profile URL (including http://) *
LinkedIn profile is prefered.
Which sort(s) of cooperation do you prefer to have with Iranian organizations?
You can choose more than one choices.
Will you attend the dinner? *
Do you want to meet Dr. Sattari in a 1-1 session? *
I certify that the above information is correct and accurate and that I am eager to participate in the VPST summit. *
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