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BFSI Tech Connect Speaker

Registration - 17th July 2020

Name

Prefix First Name Last Name

Email

example@example.com

Phone Number

Country Code Area Code Phone Number

Organisation Name

Designation

Twitter ID ( Mark as NA if not like to be tagged on Twitter)

Accepting to be a speaker at BFSI Tech Connect - Virtual

YES
NO

1
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 I am ok for Augmentrac Business Initiatives to use my name and the organization name to
promote event as a speaker.
YES
NO

I accept to be a speaker in full understanding of the event norms stated above

YES
NO

Short Introduction about myself

 

Comments or Additional Notes .

 

Please fill and send the saved copy over email Please mark a copy of this email to connect@augmentrac.com with your
recent photograph.

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