X Tashkent International Insurance and Reinsurance Forum
October 5-8 2017, Tashkent, Republic of Uzbekistan 		Ðóññêèé  |  English
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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"     "Lotte City Hotel Tashkent Palace"   Form of payment for hotel accommodation
Standard Room Standard SÂ Standard Twin Credit card
Cash
Improved room Standard SA Standard Double
Junior Suite Superior King Superior
Senior Suite Suite Twin Junior Suite
The Executive Suite Suite Room Superior Suite
Presidential Suite   Premier Suite

 

Copy of passport for foreign participants:  

 
ORGANIZER
 
OFFICIAL SUPPORT
 
GENERAL PARTNER
 
WITH THE SUPPORT OF
 
SPONSOR
 
EVENING GALA-MEAL SPONSOR
 
GENERAL INFORMATION PARTNER
 
INFORMATION PARTNERS


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