GROUP WORKSHOP REGISTRATION [vc_row][vc_column][vc_column_text] Group Registration FormPlease specify the details of the person to liaise with in regards to the registration:First Name * Last Name * Designation * Institution Name * Country *Select CountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Email ID * Mobile No * Office No * Group Size *3456789101112131415 Note: The Group Admin also has to fill in (his/her) details in Participants Column to register for the forum. Workshops & Round Tables Details Pre-Forum Workshops Workshop 1: The 4th IR and its Impact on Learning and Teaching Workshop 2: The Impact of various I-4.0 technologies on the Higher Education Sector Workshop 3: University 4.0: Meeting the Demands of the 4IR: A Strategic Imperative Round Tables (Parallel) Round Table 1: Creating Positive Synergies Across various Sectors in Support of the Future Round Table 2: Empowering the Future Graduate (How can Universities Prepare Agile Lifelong Learners?) Round Table 3: HE in the Era of the 4th IR (Policies and Strategies to Educate for Current and Future Industrial Revolutions) Participant 1Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 2Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 3Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 4Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 5Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 6Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 7Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 8Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 9Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 10Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 11Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 12Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 13Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 14Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 Participant 15Title *------Prof.Dr.Mr.Mrs.Ms.Other First Name * Last Name * Designation * Email * Pre-Forum Workshops *Workshop 1Workshop 2Workshop 3None Round Tables (Parallel) *Round Table 1Round Table 2Round Table 3 PROMO Code Enter here if you have a PROMO Code PAYMENT *(Please make any cheque or bank draft payable to the 'CENTER OF INNOVATIONS AND CUSTOMIZED KNOWLEDGE SOLUTIONS FZE', crossing it 'A/C Payee'. Cheque must be in Arab Emirates Dirham (AED)).Cheque Sent by PostBank Transfer to CLICKS AccountPay Through Paypal Bank Transfer*: Bank Name Emirates NBD Branch Dubai Silicon Oasis Branch Dubai United Arab Emirates Account Title CENTER OF INNOVATIONS AND CUSTOMIZED KNOWLEDGE SOLUTIONS FZE Account Number 1014656835901 IBAN Number AE890260001014656835901 SWIFT Code EBILAEAD *(Important): Please fax or email copy of the bank advice mentioning your name, contact no & payment details to the below Address: Email: inquiries@cli-cks.com Tel: +97143724554 Fax: +97145015777 Early Bird Group Registration Fee: USD 435 per Participant (minimum 3 participants) VerificationPlease enter any two digits *Example: 85This box is for spam protection - please leave it blank [/vc_column_text][/vc_column][/vc_row]