Delegate Registration Form
International Delegates Registration Form
Email address *
Bangladesh ICT EXPO (18 – 20 October 2017)
Name *
Title(Mr./Ms./Dr), First and last name
Nationality: *
Passport No: *
Company *
Designation *
Referred Association: *
Email *
Cell Phone Number *
Arrival (flight) *
Arrival *
MM
/
DD
/
YYYY
Arrival *
Time
:
Departure( Flight) *
Departure *
MM
/
DD
/
YYYY
Departure *
Time
:
Check-in Date *
MM
/
DD
/
YYYY
Check-Out Date *
MM
/
DD
/
YYYY
Airport Pickup *
Airport Drop *
Expo Pickup *
Expo Drop *
Type of Delegate *
Speaker
OEM Representative
Sponsor’s Representative
WITSA / ASOCIO / AFACT Representative
Delegates(type)
Will Present Seminar Paper *
Food Choice *
Required
Submit round trip Air ticket *
Required
A copy of your responses will be emailed to the address you provided.
Submit
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