REGISTRATION FORM

PERSONAL DETAILS

How did you know about the Conference?         Surname (Mr/Mrs/Ms) Name Middle Name Position Department Company Address City Postcode Country     Tel Fax E-mail Signature Data Terms of payment The cost of participation for one representative in the conference amounts to EURO 500 Do you require an invoice? Yes         No Form of payment - Bank transfer Bank details: Eurasia Insurance Company TRN 600900079784, Code 15, Bank: №6 Branch of the «Eurasian Bank» JSC Account EUR: 600070141, BIC: 190501993, S.W.I.F.T.: EURIKZKA COMMERZBANK AG, Frankfurt am Main, Germany, 400886927300EUR In case if you need visa support, please completed the details below: Date and place of birth         dd mm yy Nationality     Ethnic nationality   Passport No       Date of issue           Expiry         dd mm yy dd mm yy Residential Address: Country   ,  City   ,  Street   Period of stay in the Republic of Kazakhstan from               until         dd mm yy dd mm yy Please send scanned copy of passport. Do you need information on Hotels?      Yes      No             If yes, we will e-mail these details to you separately.