PRELIMINARY SPEAKER REGISTRATION FORM
Piloting Smart / Micro Grid Projects for Insular and Remote Localities
in APEC Economies
Russky Island, Vladivostok, Russia, 15-17 October 2012
This form is used to allow individuals and organizations to notify the Workshop
organizers on their interest to make presentation at the Workshop
Please return the completed form with the CV to the Workshop organizers by e-
mail not later than 13 August 2012:
Kirill Muradov, Project Team Leader
e-mail: Muradov@localenergy-apec.ru, copied to firstname.lastname@example.org,
Title: (please circle) Mr. Ms. Mrs. Dr. Prof. Other:
Abstract (~300 words)
your topic and main ideas,
justification of your
significance of your results
applicability of your results, in
your personal and/or your
Funding requirements and sponsorship opportunities
Do you require funds to cover you
(Limited funding opportunities are
available to cover travel and per
diem for speakers. The organizers
will consider all requests and will
approve them, subject to funds
Are you or your organization
interested in exploring sponsorship
opportunities at the Workshop?
(APEC rules discourage exposure
of private entities inside the
meeting rooms and within the
meeting documents. However,
advertising material (logos,
brochures etc.) may be
disseminated at the social events
or at the pre-meeting halls.).
Please attach your CV herewith.
Please feel free to also attach or elaborate, at your discretion your draft presentation
or any other documents that may support your application.
The Workshop organizers will review your applications and will inform you on the
decision within the shortest possible timeframe.