<p> SPEAKER APPLICATION FORM</p><p>Instructions on how to apply and become a speaker at CIPR Conference:</p><p>1. You must complete the speaker application form before March 20, 2017. From 20 March 2017 to 20 April 2017 becoming a speaker at the Conference is only possible by personal invitation from the members of the CIPR organizing committee.</p><p>2. It is necessary to obtain the approval of the topic from the moderator. Application process and approval takes up to 15 days. After that, your report can be included in the official program, and information about you uploaded on the official website of the conference cipr.ru in the Participants section.</p><p>3. The topic of your presentation must comply with the key subjects of the Conference CIPR-2017. Speech duration - from 3 to 5 minutes.</p><p>If you agree to the terms above, please fill in the form below:</p><p>Last Name Name Middle Name/Patronimic</p><p>Title</p><p>Name of organization</p><p>Academic Title / regalia</p><p>Sphere of interests </p><p>Work Phone</p><p>Mobile Phone (for operational communications) Email Topic of the Panel Discussion (from the available in the program) Topic of your presentation</p><p>Speech bullet points (up to 1000 characters)</p><p>Cover message</p><p>If you have any questions regarding your presentation and its content - please send a request to the conference program manager: [email protected]</p><p>Please note that the conference organizing committee reserves the right to refuse participation to any person, without explanation.</p>