DELEGATE/ PARTICIPANT/ PRESENTER/ ACE TEAM DETAILS Name of Organization: Address: Contact Person: Designation: Tel (Land Line): Mobile: Email: With Country Code With Country Code Category of APQO Gala Awards Name of Participant/ Preferred Name Salutation Meal Registration Board/Core Dinner on Badge/ Certificate (Dr, Mr, Designation Email Address Preferences (Category Council (11 Dec 18) Madam, Ms, (Please check for correctness as changes at Please tick Code from Member Dr, Prof etc) Attendance conference site will not be possible) Sec B) Only for APQO Veg Yes Non Veg No Veg Yes Non Veg No Veg Yes Non Veg No Veg Yes Non Veg No Veg Yes Non Veg No Veg Yes Non Veg No
DELEGATE/ PARTICIPANT/ PRESENTER/ ACE TEAM DETAILS Name of Organization: Address: Contact Person: Designation: Tel (Land Line): With Country Code Mobile: With Country Code Email: Salutation (Dr, Mr, Madam, Ms, Dr, Prof etc) Name of Participant/ Preferred Name on Badge/ Certificate (Please check for correctness as changes at conference site will not be possible) Designation Email Address Meal Preferences Please tick Gala Awards Dinner (11 Dec 18) Attendance APQO Board/Core Council Member Only for APQO Category of Registration (Category Code from Sec B) Veg Non Veg Yes No Veg Non Veg Yes No Veg Non Veg Yes No Veg Non Veg Yes No Veg Non Veg Yes No Veg Non Veg Yes No