pre registration form


PRE-REGISTRATION FORM
Please complete all the required field ( * )
Name * :
Job title * :
Company * :
Mailing address * :
E-mail address * :
Reconfirm E-mail * :
Phone no * :
Fax no * :
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1. The classification which best describes your organisation is? (Please tick)

01. Ministry / Goverment
02. Environment / Civil Engineering / Consultants
03. Food / Drinks / Beverages / Distillery / Brewery
04. Palm Oil / Sugar Refining
05. Petrochemical / Chemical / Oil and Gas
06. Steel
07. Pulp and Paper
08. Sewerage Companies / Operators
09. Town / City Councils
10. Water Companies / Operators
11. Hospital / Hotels / Clubs
12. Research Institutes / Education
13. Architects
14. Real Estate Developers
15. Building Contractors
16. Auto Parts / Automotive
17. Agriculture / Palm Oil
18. Electronics / Semiconductor / Electric Industry
19. Pharmaceutical / Cosmetic / Medical
20. Agents / Distributors
21.
Others(please Specify)
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2. Which best desribes your job title? (Please tick)
01. Owner / Chairman / Managing Director
02. Department Head
03. Project Engineering
04. Contractor
05. Plant Management
06. Purchasing
07. Design / Development
08. Consultant
09. Sales / Marketing
10. Others (Please specify)
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3. How many employees are there in your company / department (all locations)? (Please tick)
01. 1 - 20
02. 21 - 100
03. Over 100
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4. How did you come to know of LANKAWATER 2017? (Please tick)
01. Newspaper
02. Magazine
03. Main Invitation
04. Online Newsletter
05. Online Websites
06.
Others ( Please specify)
We will send you the Pre-registration Letter (if you qualify).
Note : Each Pre-registration Letter is for admission of one person only.You must print a copy of the Pre-registration Letter and bring along to the Visitor Registration Counter at the entrance of the SLECC where you will be issued a Visitor Badge.