The 2023 India Global Innovation Connect

Speaker Registration

Name*
Title First Last
Country/Region*
Country/Region Permanent residence
Company/Organization
Sector
Designation*
Address
Street Address City State / Province / Region ZIP / Postal Code
Country/Region

Country/Region
Direct Phone*
Cell Phone
Email*
Picture*
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.
(Hi-res headshot picture in jpg, jpeg, png or pdf format only)
Short Biography*
Accepted file types: pdf, Max. file size: 10 MB.
(In English, 400 words maximum in pdf format)
Website
Company Profile
Accepted file types: pdf, Max. file size: 10 MB.
(In English, 400 words maximum in pdf format)
Assistant Name
First Last
Assistant Email
Direct Phone