"*" indicates required fields Select required:Who do you represent?* Commercial organisation Exhibitor, Sponsor or Partner Invited guest speaker Who invited? Exhibitor, Sponsor or Partner Name*Presentation type?* Commercial presentation Non-commercial presentation Participation in a panel discussion Participation in the Forum with Commercial presentation Price: Participation in the Forum with non-commercial presentation Price: Participation in the Forum or panel discussion Price: Gala dinner Reserve Dietary requirementsTotal Your role:Are you? Speaker Panelist Moderator Speaker’s ContactsName* Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Job title*Company*Speaker’s biography*Up to 200 words Speaker’s recent photo*Accepted file types: pdf, jpg, jpeg, png, Max. file size: 10 MB.Please attach or email asia@minexforum.com speaker’s recent colour photo in high resolution (max file size 10 MB).E-mail* Your primary e-mail address which will be associated with your user account Alternative e-mail Alternative or Private business e-mailLandlineMobileWhatsApp numberSkype IDSocial NetworksLinkedInFacebookTwitterYoutubeInstagramSpeaker's AssistantAssistant’s full nameAssistant’s email Assistant’s phonePresentation DetailsPresentation title*No more than 15 wordsShort synopsis ~250 wordsTime required*Select required time10 Minutes15 MinutesMore than 15 MinutesNot presenting (moderator or panelist)Select time requiredPreferred language*----EnglishRussianSelect presentation languageYour Comments After submitting the form, you will automatically receive a copy to your main email address. Please check your spam inbox and add Secretariat@minexforum.com to the safe senders list.T&Cs* I have read and agreed to participation terms and conditions. Terms & ConditionsNewsletter I agree to subscribe to newsletters and event invitations from MINEX Forum Finish and PayTotal Select Payment Method* Bank Transfer Credit Card (Sripe)