"*" indicates required fields This field is hidden when viewing the formSubmissionDateContact person completing the formName*Surname*Company*Job titleAddress Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*IndustryE.g. Consulting, Financial Services, Equipment manufacturing, Engineering, etc.Exhibition PackageExhibition Package Price: TermsAdditional OptionsAre you planning to present?* Yes No If you are planning to make a presentation at the forum, please fill out the speaker form: Open speaker form Additional Options Promotional inserts in the delegate packs Video advertising Promotional inserts in the delegate packs Price: Video advertising (Two days) Price: Exhibitor’s profile (up to 150 words) on the Forum website* Yes No Exhibitor's ProfileCompany name in English*Company profile in English*Web Page LinkFacebookLinkedInTwitterInstagramYoutubeE-mailE-mail login*Contact numberCompany Logo*Accepted file types: jpg, png, gif, pdf, eps, ai, Max. file size: 10 MB.Please send the logo to asia@minexforum.com or upload it by using upload button above this instruction.Use of exibitor's logos and corporate profile: To ensure correct display and print of corporate logo and company profile on MINEX website and MINEX printed materials, please comply with the MINEX Central Asia 2025 Artwork_and_printing_guidelines_ENG.Delegate RegistrationNumber of delegatesNumber of delegates1 delegate2 delegates3 delegates4 delegatesTotal Delegate 1 DetailsGala dinner option for delegate 1 1. Gala dinner Dietary requirementsName*Surname*CompanyJob Title*Email*Phone*MobileDelegate 2 DetailsGala dinner option for delegate 2 2. Gala dinner Dietary requirementsName*Surname*CompanyJob Title*Email*Phone*MobileDelegate 3 DetailsBusiness Rate Price: Gala dinner option for delegate 3 3. Gala dinner Dietary requirementsName*Surname*CompanyJob Title*Email*Phone*MobileDelegate 4 DetailsBusiness Rate Price: Gala dinner option for delegate 4 4. Gala dinner Dietary requirementsName*Surname*CompanyJob Title*Email*Phone*MobileYour CommentsPayment InformationSelect Payment Method* Stripe Bank Transfer * I have read and agreed Terms and Conditions I would like to subscribe to MINEX Forum news This field is hidden when viewing the formPostIDTotal CommentsThis field is for validation purposes and should be left unchanged.