LabAsia Visitor Registration Form
  1. Company Name(*)
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  2. Salutation
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  3. Others: Please Specify
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  4. Name(*)
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  5. Designation(*)
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  6. Address(*)
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  7. Email Address(*)
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  8. Please avoid using emails such as info@abc.com or enquiry@xyz.com, as the registration code is delivered to your email. You are also advised to not share one email address for multiple pre-registrations as the system detects visitors on per email basis.
  9. Mobile Number(*)
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  10. Postal Code
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  11. City(*)
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  12. State(*)
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  13. Country(*)
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  14. Phone No
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  15. Fax
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  16. Website
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  17. 2. I am interested in exploring the following products please tick:(*)
















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  18. Others, please specify:
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  19. 3. I work in the following industry (please tick where applicable):(*)














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  20. 4. How did you learn about Lab Asia/ Lab Indonesia:(*)






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  21. Others, please specify:
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  22. PDPA Statement
    By providing your personal data through the registration form below, you agree and consent that ECMI ITE Asia may collect, use and disclose your personal data for the purposes of processing your personal data for the following purposes in accordance with the Personal Data Protection Act 2010 and our personal data protection policy on our website www.lab-asia.com:
    a) the processing of your registration to LabAsia exhibition;
    b) for record keeping purposes with our organization and,
    c) For providing marketing material that you have consented to receive under this notice.
    Please avoid using emails such as info@abc.com or enquiry@xyz.com, as the registration code is delivered to your email. You are also advised to not share one email address for multiple pre-registrations as the system detects visitors on per email basis.

  23. CAPTCHA
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