Title :

Prof Dr Mr Mrs Ms Miss Others

Family (Last) Name :

Other Names :

Company/Organization :

Address :

City :

Postcode :

Country :

Tel :

Fax :

Affiliation :

Department/Faculty :

Position :

Email :

Title of paper to be presented :

Has your paper been accepted by the conference?

Which tier do you belong to? (Please refer to the three-tier country system in the WAPOR membership categories)

Content of Abstract :

My Brief Resume:

An essay of not more than 800 words describing the applicant's research/academic/occupational background and reasons for wanting to attend the WAPOR conference, focusing on the usefulness of the conference to the applicant's current work duties. A brief description of their organization and position is also required: