Archive VIII Tashkent International Insurance and Reinsurance Forum
June 4-7 2015, Tashkent, Republic of Uzbekistan
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Registration form

When You fill out the application form, please note that submitted by You information will be used in forming the list of participants of the Forum, therefore provide reliable and complete information.


1. General information about the delegating organization
The country in which the organization is registered:
Full name of organization:
Phone number (including country code and city code):
Fax (including country code and city code):
E-mail:
Contact Name:
Mailing address, zip code:
2. Details of the delegating organization
Legal address:
3. Participants-Delegates
Last Name, First Name
Position

Add one more participant +
4. Note
Note:

 

Participation in the excursion program: yes   no

 

Form of payment of registration fee
Bank transfer Credit card Cash

 

Hotel Reservation: yes   no

"International Hotel Tashkent" "Hotel Uzbekistan" Form of payment for hotel accommodation
Standard Room Standard SÂ Credit card
Cash
Improved room Standard SA
Junior Suite Superior King
Senior Suite Suite Twin
The Executive Suite Suite Room
Presidential Suite  

 

Copy of passport for foreign participants:  

 

ORGANIZER
 
IN COOPERATION WITH
 
GENERAL PARTNER
 
WITH THE SUPPORT OF
 
PLATINUM SPONSOR
 
GOLD SPONSOR
 
BRONZE SPONSORS
 
SPONSORS
 
INFORMATION PARTNERS

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