The 5th CISO Executive Summit 2022 *Complimentary Registration Registration Reply Slip Contact information **Compulsory Field Salutation**Mr. Ms. MissDr. Prof. First Name** Last Name: ** Company Name** Job Title** Department** Company Size **Select valueBelow 100101 - 500501 - 1000Above 1001 Industry**Select valueAerospace & DefenseAutomotiveBankingBuilding MaterialsChemicalsConsumer ProductsDefenseEngineering, Construction & OperationsFabricated Metal ProductsFinancial ServicesForest Products, Furniture & TextileHealthcareHigher Education & ResearchHospitality and EntertainmentIndustrial Machinery & ComponentsInformation TechnologyInsuranceLifescienceLogisticsManufacturingMediaOil & GasPassenger & Cargo ServicesPostal ServicesPrimary Metal & MiningProfessional ServicesPublic SectorRetailTelecommunicationsUtilities & WasteWholesale Contact Number ** Mobile Number (if work from home) Business Email ** COVID-19 vaccination status:**Select valueI have completed 3 doses of COVID-19 vaccinationI have completed 2 doses of COVID-19 vaccination within 5 months on or before 6 December 2022Recovered COVID-19 patients with Recovery QR Code and received 2 / 3 doses of vaccine before infectionRecovered COVID-19 patients with Recovery QR code (within 6 months on or before 6 December 2022)I have obtained a “Medical Exemption Record” from a registered medical practitionerI did not take COVID-19 vaccination and do not have “Medical Exemption Record” from a registered medical practitioner Terms & Conditons**I consent to be contacted by Market Intelligence Group Limited and the sponsoring companies of this event, for the purpose of sharing news of technology products or services. I am aware of that I may withdraw my consent or change my preference at any time.SubmitResetRemarks :Market Intelligence Group Limited reserves the right of approval to application. Successful applicants will receive a confirmation email upon approval..Complimentary registration is only applicable to first 150 Senior Executives from end user side. A fee of USD850 would be charged otherwise. With limited passes, first come first served basis is used for pass allocation.Delegates who attend The 5th CISO Executive Summit have to fulfill the Vaccine pass requirements announced by the HKSAR.
