Asia Regional Consultation 2020
15th, 16th, 22nd and 23rd October 2020
Online Event
Enquiries : events@micahglobal.org
Sign in to Google to save your progress. Learn more
Participant's Registration Information
Kindly fill in all required information below to confirm your participation : PLEASE NOTE THAT YOU NEED TO FILL IN ONE REGISTRATION FORM PER PARTICIPANT
First Name(s) *
Last Name *
Nationality *
Country of Residence *
Email used when signing into Zoom *
Email for all correspondence *
Mobile/WhatsApp *
Year of Birth *
Gender *
Do you represent an organisation, church or network?  (If yes, which one?) *
Role in organisation, church or network/Position Title *
Are you or your organisation a member of Micah? *
Required
The consultation will be in Mandarin and English.  Please tick your preferred language *
Required
I acknowledge that the Consultation will be recorded and I am responsible for keeping my identity private if required *
Required
Sectoral Interest : Is there a particular area of concern you are interested in?
Sectoral Interest : If ticked "Other" in previous question, please specify area of concern here
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy