home
 

Welcome to the Media Accreditation Form for FutureChina Global Forum 2011

Media representatives interested to attend the FutureChina Global Forum may register before 24 June 2011.

You will have to enter all the fields marked by the asterisk (*) to proceed.

Personal Information
Passport size photograph *

Note upload requirements:
- jpeg or jpg formats
- Not less than 300dpi
   
* Please provide either a MICA PAC No OR Letter of Authorization.
MICA PAC Number
Expiry Date (DD/MM/YYYY)
Please ensure that your MICA PAC is valid till 13 July 2011.
   
Letter of Authorization
Note upload requirements:
- pdf, jpg, jpeg, docx or doc formats
- Below 2MB
Title *
First Name *
Last Name *
NRIC/ Passport No. *
Country / Region *
Gender * Male Female
Nationality *
Job Title *
Organization *
Department
Type of Media * Print Online Broadcast Wire Agencies Others
Name of Programme / Publication
Company Website
Address 1 *
Address 2
City
State
Zip Code
Telephone * Country
Code		 Area
Code
   
Mobile Phone * Country
Code		 Area
Code
   
Fax * Country
Code		 Area
Code
   
Email Address *
Enquiry
   
Kindly state your attendance for FutureChina Global Forum on
11 July 2011 Monday
12 July 2011 Tuesday