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Registration Form Luncheon Meeting with the Prime Minister 25 th November 2015 Bangkok Convention Center A, Centara Grand, Central World (Prof/Dr./Mr./Mdm./Ms.) First Name………………………………..………………………………………..… Surname……………………….………..………………………….………..……………………………………… Designation………………………………………………………………………………………………………… Organization / Company……...………………………………………………………........................................ Address……………………………………………………………………………………………......................... ……………………………………………………………………………………………..................................... ……………………………………………………………………………………………..................................... Telephone……….…………………………………………………………………………………………..……… Fax…………………………………………………………………………………………………………………… Mobile……………………………………………………………………………………………………………… E-mail………………………………………………………….…………………………………………………… Date: Wednesday, 25 th November 2015 Time: 11:00am – 15:30pm Location: Bangkok Convention Center A, 22 nd Floor, Centara Grand Central World Please kindly complete registration form and return via e-mail to Subject: Luncheon Meeting with the Prime Minister on Wednesday, 25 th November, 2015 Attn: Mr. Abdullah Sabri Tok E-mail: [email protected] Tel. +66 2 635 80 10 Fax: +66 2 635 80 11

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Registration Form

LLuunncchheeoonn MMeeeettiinngg

wwiitthh tthhee PPrriimmee MMiinniisstteerr 2255tthh NNoovveemmbbeerr 22001155

BBaannggkkookk CCoonnvveennttiioonn CCeenntteerr AA,,

CCeennttaarraa GGrraanndd,, CCeennttrraall WWoorrlldd

(Prof/Dr./Mr./Mdm./Ms.) First Name………………………………..………………………………………..…

Surname……………………….………..………………………….………..………………………………………

Designation…………………………………………………………………………………………………………

Organization / Company……...………………………………………………………........................................

Address…………………………………………………………………………………………….........................

…………………………………………………………………………………………….....................................

…………………………………………………………………………………………….....................................

Telephone……….…………………………………………………………………………………………..………

Fax……………………………………………………………………………………………………………………

Mobile………………………………………………………………………………………………………………

E-mail………………………………………………………….……………………………………………………

Date: Wednesday, 25th November 2015

Time: 11:00am – 15:30pm

Location: Bangkok Convention Center A, 22nd Floor, Centara Grand Central World

Please kindly complete registration form and return via e-mail to

Subject: Luncheon Meeting with the Prime Minister on Wednesday, 25th November, 2015

Attn: Mr. Abdullah Sabri Tok

E-mail: [email protected]

Tel. +66 2 635 80 10 Fax: +66 2 635 80 11

Registration Chair’s Report€¦ · Registration Chair’s Report Gabriela F. Ciocarlie SRI International SP19 Registration Chair . Registration Overview •Registration numbers

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