2023 VISITOR REGISTRATION FORM "*" indicates required fields Please complete the registration form in English onlyPersonal DataSalutation*Please select…Mr.Ms.Mrs.Dr.Prof.Assoc. Prof.First Name* Last Name* Country, Country Code*Please select…Thailand, 66Afghanistan, 93Albania, 355Algeria, 213American Samoa, 1-684Andorra, 376Angola, 244Anguilla, 1-264Antarctica, 672Antigua and Barbuda, 1-268Argentina, 54Armenia, 374Aruba, 297Australia, 61Austria, 43Azerbaijan, 994Bahamas, 1-242Bahrain, 973Bangladesh, 880Barbados, 1-246Belarus, 375Belgium, 32Belize, 501Benin, 229Bermuda, 1-441Bhutan, 975Bolivia, 591Bosnia and Herzegovina, 387Botswana, 267Brazil, 55British Indian Ocean Territory, 246British Virgin Islands, 1-284Brunei, 673Bulgaria, 359Burkina Faso, 226Burundi, 257Cambodia, 855Cameroon, 237Canada, 1Cape Verde, 238Cayman Islands, 1-345Central African Republic, 236Chad, 235Chile, 56China, 86Christmas Island, 61Cocos Islands, 61Colombia, 57Comoros, 269Cook Islands, 682Costa Rica, 506Croatia, 385Cuba, 53Curacao, 599Cyprus, 357Czech Republic, 420Democratic Republic of the Congo, 243Denmark, 45Djibouti, 253Dominica, 1-767Dominican Republic, 1-809, 1-829, 1-849East Timor, 670Ecuador, 593Egypt, 20El Salvador, 503Equatorial Guinea, 240Eritrea, 291Estonia, 372Ethiopia, 251Falkland Islands, 500Faroe Islands, 298Fiji, 679Finland, 358France, 33French Polynesia, 689Gabon, 241Gambia, 220Georgia, 995Germany, 49Ghana, 233Gibraltar, 350Greece, 30Greenland, 299Grenada, 1-473Guam, 1-671Guatemala, 502Guernsey, 44-1481Guinea, 224Guinea-Bissau, 245Guyana, 592Haiti, 509Honduras, 504Hong Kong, 852Hungary, 36Iceland, 354India, 91Indonesia, 62Iran, 98Iraq, 964Ireland, 353Isle of Man, 44-1624Israel, 972Italy, 39Ivory Coast, 225Jamaica, 1-876Japan, 81Jersey, 44-1534Jordan, 962Kazakhstan, 7Kenya, 254Kiribati, 686Kosovo, 383Kuwait, 965Kyrgyzstan, 996Laos, 856Latvia, 371Lebanon, 961Lesotho, 266Liberia, 231Libya, 218Liechtenstein, 423Lithuania, 370Luxembourg, 352Macau, 853Macedonia, 389Madagascar, 261Malawi, 265Malaysia, 60Maldives, 960Mali, 223Malta, 356Marshall Islands, 692Mauritania, 222Mauritius, 230Mayotte, 262Mexico, 52Micronesia, 691Moldova, 373Monaco, 377Mongolia, 976Montenegro, 382Montserrat, 1-664Morocco, 212Mozambique, 258Myanmar, 95Namibia, 264Nauru, 674Nepal, 977Netherlands, 31Netherlands Antilles, 599New Caledonia, 687New Zealand, 64Nicaragua, 505Niger, 227Nigeria, 234Niue, 683North Korea, 850Northern Mariana Islands, 1-670Norway, 47Oman, 968Pakistan, 92Palau, 680Palestine, 970Panama, 507Papua New Guinea, 675Paraguay, 595Peru, 51Philippines, 63Pitcairn, 64Poland, 48Portugal, 351Puerto Rico, 1-787, 1-939Qatar, 974Republic of the Congo, 242Reunion, 262Romania, 40Russia, 7Rwanda, 250Saint Barthelemy, 590Saint Helena, 290Saint Kitts and Nevis, 1-869Saint Lucia, 1-758Saint Martin, 590Saint Pierre and Miquelon, 508Saint Vincent and the Grenadines, 1-784Samoa, 685San Marino, 378Sao Tome and Principe, 239Saudi Arabia, 966Senegal, 221Serbia, 381Seychelles, 248Sierra Leone, 232Singapore, 65Sint Maarten, 1-721Slovakia, 421Slovenia, 386Solomon Islands, 677Somalia, 252South Africa, 27South Korea, 82South Sudan, 211Spain, 34Sri Lanka, 94Sudan, 249Suriname, 597Svalbard and Jan Mayen, 47Swaziland, 268Sweden, 46Switzerland, 41Syria, 963Taiwan, 886Tajikistan, 992Tanzania, 255Togo, 228Tokelau, 690Tonga, 676Trinidad and Tobago, 1-868Tunisia, 216Turkey, 90Turkmenistan, 993Turks and Caicos Islands, 1-649Tuvalu, 688U.S. Virgin Islands, 1-340Uganda, 256Ukraine, 380United Arab Emirates, 971United Kingdom, 44United States, 1Uruguay, 598Uzbekistan, 998Vanuatu, 678Vatican, 379Venezuela, 58Vietnam, 84Wallis and Futuna, 681Western Sahara, 212Yemen, 967Zambia, 260Zimbabwe, 263Mobile Number* Email* Nationality* Address* Zip Code* WorkCompany Name* Position* BusinessWhich industry are you from?*(Please select 1 only) 5G Technology & Network Automotive Agricultural Artificial Intelligence Banking & Finance Beauty & Fashion Construction & Building Cybersecurity Data & Cloud Digital Marketing eCommerce Food & Beverage Education & Training Energy & Power Engineering Environment FMCG Government State Enterprise Hospitality & Travel Lighting Logistics, Warehouse and Fulfillment Manufacturing Medical & Healthcare Property & Real Estate Retail Research/Development Services Technology Solutions Distributor, Providers & Consultant Trade Association & Chamber of Commerce Your business sectors?*(Please select 1 only) Dealer/distributer/Trader Manufacturer Services Provider Government/Government Agency Entrepreneur/Startup/SMEs University/Research Institutes What is your job function?*(Please select 1 only) Academia/Educator Brand Management Data Analytics Digital Media Finance Control/Admin Human Resource Investor/Venture Capital Marketing, Business Development & Sales Department MIS/IT/Network Product Development/Innovation Programming/Content Development Production Control & Management Purchasing/Procurement/Buying Research & Development/Consultancy/Legal System Integration Technical/Engineering Top Management (CEO, MD, GM, Owner) What is your decision level?*(Please select 1 only ) Final Decision Maker Jointly Decisive/Significant Influencer Initial Recommendation/Consultant Number of Employees in your organization*(Please select 1 only) 1-20 21-50 51-100 101-250 251-500 501-1,000 Over 1,000 ObjectivesWhat is the purpose of your visit?*(Please select all that apply) Buy products and services Find new business partners/Solutions & innovations Evaluate show for future participation Attend webinar/Get market overview Meet business partner Other Please specify your purpose In what role do you attend?*(Please select 1 only) Buyer Visitor Speaker Press Student Which segments are you interested?*(Please select all that apply) Software for Business Artificial Intelligence Cyber Security E-commerce and Digital Marketing Data and Cloud Smart Solutions & IoT 5G Technology and Network WEB 3.0 Other Please specify segment What other trade shows have you visited this year or in the past?* How did you get to know about this exhibition?*(Please select all that apply) Invitation from Exhibitors Exhibitors advertising Telemarketing Invitation by email from organizer DigiTech ASEAN Thailand Website DigiTech ASEAN Thailand Facebook DigiTech ASEAN Thailand Linkedin DigiTech ASEAN Thailand Twitter DigiTech ASEAN Thailand Line@ Google Trade Association Colleague, Word of Mouth Newspaper, Press Release Advertisement from Magazine & Journal (Please specify) Banner Advertisement or External Website (Please specify) Other Please specify Magazine & Journal Please specify Banner or Website Please specify Are you interested to attend our conference? Yes No Are you interested to attend our business matching programme? Yes No I accept that after registering, IMPACT Exhibition Management Co., Ltd. may contact me with updates, relevant promotions and information about future events. The event sponsor/partner may also contact me about their products and services.Click to read privacy notice. I accept. No Captcha
