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The 8th World Toilet Leaders Forum Registration Form
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* Indicates required question
1. Family Name
*
Your answer
2. Given Name
*
Your answer
3. Nationality
*
Your answer
4. Organization
*
Your answer
5. Department
*
Your answer
6. Position
*
Your answer
7. Website and Social Media of Your Organization(If Any)
Your answer
8. Email Address of Your Organization
*
Your answer
9. Your Social Media, if any(Social Media, ID)
*
ex) Facebook, instagram, twitter, linkedin etc.
Your answer
10. Your Email Address
*
Your answer
11. Office Number
*
Your answer
12. Your Mobile Number
*
Your answer
13. Messenger(Type)
*
Whatsapp
Telegram
Wechat
Line
Facebook Messenger
Kakao Talk
Other:
Required
14. Messenger ID/Contact Number
*
Your answer
15. Have you carried out WTA Public Toilet Project?
*
Yes
No
Required
15-1. If you checked "Yes" for Question No.15, Please check the Year of Project(Multiple choice)
None (Checked "No" for Question No. 15)
2014
2015
2016
2017
2018
2019
2020
Clear selection
16. Are you applying for speaker of country case study seminar on November 12(Fri.) ?
*
Yes
No
Required
16-1. If so, please describe where your project location was. (Country/Province/City/Location)
Your answer
17. Did you participate at the 7th World Toilet Leaders Forum 2020?
*
Yes
No
18. I agree to let WTA use the picture or video(taking from Zoom) maybe including me on their website or SNS.
*
Yes
No
Required
19. I agree to let WTA collect my email address and phone number for further contacts.
*
Yes
No
Required
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