UCN 2024 Conference Registration

Delegate Registration Details
Please select how many delegates you want to register*
*Please note that if you want to register more than 4 people, you have to fill up another form for the 5th and following people.
Delegate 1 (D1): *

HonorificFirst NameLast Name
(D1) Email*
example@example.com
(D1) Phone / Whatsapp number*
Include your country code Example: (+63)917xxxx
(D1) Preferred Name on the Name Tag *
(D1) Dietary restrictions or allergies:
Food that your are Allergic to
(D1) T-Shirt Size*
* See shirt sizes below
(D1) Most updated Picture

Cancelof
(D1) ID Code
Delegate 2 (D2): *

HonorificFirst NameLast Name
(D2) Preferred Name on the Name Tag*
(D2) Phone / Whatsapp number*
Include your country code Example: (+63)917xxxx
(D2) Email*
example@example.com
(D2) Dietary restrictions or allergies:
Food that your are Allergic to
(D2) T-shirt Size*
(D2) Most updated Picture

Cancelof
(D2) ID Code
Delegate 3 (D3): *

HonorificFirst NameLast Name
(D3) Preferred Name on the Name Tag*
(D3) Phone / Whatsapp number*
Include your country code Example: (+63)917xxxx
(D3) Email*
example@example.com
(D3) Dietary restrictions or allergies:
Food that your are Allergic to
(D3) T-Shirt Size*
(D3) Most updated Picture

Cancelof
(D3) ID Code
Delegate 4 (D4): *

HonorificFirst NameLast Name
(D4) Preferred Name on the Name Tag*
(D4) Phone / Whatsapp number*
Include your country code Example: (+63)917xxxx
(D4) Email*
example@example.com
(D4) Dietary restrictions or allergies:
Food that your are Allergic to
(D4) T-Shirt Size*
(D4) Most updated Picture

Cancelof
(D4) ID Code
Delegate 5 (D5): *

HonorificFirst NameLast Name
(D5) Preferred Name on the Name Tag*
(D5) Phone / Whatsapp number*
Include your country code Example: (+63)917xxxx
(D5) Email*
example@example.com
(D5) Dietary restrictions or allergies:
Food that your are Allergic to
(D5) T-Shirt Size*
(D5) Most updated Picture

Cancelof
(D5) ID Code
Register Spouse/Companion?*

YesNo
Name of Spouse*

PrefixFirst NameLast Name

1:1 Meetings
Would you prefer to do the 1:1 Meetings as a group or individually?*

GroupIndividually
Please indicate how you want them to be grouped:*
Example: Group 1 - Name of D1, Name of D2 ; Group 2 - Name of D3, Name of D4

Reminders:
- Once you submit this form, a Unique Conference ID Code will be generated. Please take note of that code as it will be used for registration. It will also be sent to your emails.
- Please try to book your flight and hotel for the conference as soon as your registration has been confirmed.
- If you need any assistance or have and questions/concerns, feel free to contact us at info@uc-network.com.
Liabitlity Waiver*

We hereby acknowledge that, by registering for the UCN 2024 Conference, me and the other delegates registered in this form are accepting full responsibility for our activities and that, in the event that we become ill, injured, or experience any other personal loss, the Atheenee Hotel and the UCN team will not be held liable.
Form Code (please ignore)
Should be Empty:

	Agent Name	Company	Email
1
2

Company Registration Details

Delegate Registration Details

1:1 Meetings