Speaker Registration
Events : Event Name :
Select Title : Name :
Designation : Nationality :
Date of Birth : Responsibilities in Organization :
Passport No. : Attach Soft Copy Passport :
Date of Issue : Valid Upto :
Place of Issue : Country of Issue :
Company : Country :
Address : State :
Pin/Zip Code : City :
Telephone : Mobile No. :
Fax : E-Mail :
Alternate E-mail : Upload Photo :
Sr No.Title of Paper 

Experience as Speaker
List of Speaking assignments in the Past.
Sr No.Name of Conference/SummitDate of the ProgramOrganizer's Name and AddressTopic of Your PresentationDuration of Presentation (Minutes) 

Educational Qualifications :
Technical Qualifications :
Present Employment
Sr No.DesignationSince MonthSince YearName of Company/Org.Place & Country of PostingResponsibilities 

Previous Employment
Sr No.DesignationDate FromDate ToName of Company/Org.Place & Country of PostingResponsibilities 

Affiliations of Trade/Professional Associations
Sr No.NameCity,CountryType of MembershipPeriod FromPeriod To 

Professional Awards Received -- Achieved for Organization
Sr No.Name of AwardName of Presenter OrganizationYear 

Attach soft copy of abstract of paper presentation :

I agree to submit :
a) Soft copy of Full Paper Presentation in upto to 1500 words or PPT slides not more than 10 slides.
b) Abstract and Full Paper Presentation are subject to editing by Greentech Foundation.
c) I undertake and agree not to publicize my / our company / organization & its products / services directly or indirectly among the participants of the event.
d) By submitting the paper. I am hereby giving copyright of the paper in favour of Greentech Foundation, New Delhi (India) for publication in the conference proceedings book etc.
e) I declare that the Abstrac and Full paper has been authored by me and has not been presented by any other Author/Speaker at any other Conference/Forum.
f) I authorize Greentech Foundation to schedule my presentation during any slot available in the conference in order of my preference as under (Please select option in order of your preference).