VISITOR REGISTRATION
BUSINESS CONTACT INFORMATION * denotes compulsory fields
Title*  
First Name*  
Surname*  
Job Title*  
Work Email*  
Work Tel*  
Work Mobile No*  
Company*  
Company Address*  
Company Address 2
Postal Code
Country/Region of Work*  
Company Website / Social Media Page
Which previous MEDICAL FAIR ASIA Edition did you attend?*  
Will you be visiting MEDICAL MANUFACTURING ASIA 2022?*  
MEDICAL FAIR ASIA 2022 Visit Plan*  
How did you find out about the exhibition?*  
Other than via email, how can we update you on the exhibition and related activities?*  

YOUR WORK INFORMATION

1 YOUR ORGANIZATION TYPE (tick one only)
01. Association 02. Distributor / Trader / Importer & Exporter
03. Clinic / Medical / Wellness Centre 04. Emergency Relief / Social Services
05. Government / Regulatory Body 06. Home / Elder Care Services
07. Hospital (Public / Private) 08. Hospital Planner / Turnkey Contractor / Procurement Service
09. IT / Digital Health System Provider 10. Laboratory
11. Manufacturer / Producer 12. Medical Establishment Developer
13. Military / Civil Defence Agency 14. Nursing Home / Hospice / Rehabilitation Centre
15. Pharmacy 16. Remote / Mobile Medical Service
17. Service Provider 18. University / Training / Research Institute
19. Others (please specify)
2 YOUR PRIMARY JOB FUNCTION (tick one only)
01. CEO / Managing Director / Senior Management 02. Department Head / Manager
03. Doctor / Specialist Surgeon 04. Emergency Aid / Paramedic
05. Engineer / Technician / Maintenance 06. Finance / Admin
07. Human Resource / Training 08. Information System Management
09. Medical / Social Service Worker 10. Medical Equipment / Clinical / Laboratory Technician
11. Medical Logistics / Supply Chain Specialist 12. Nurse
13. Occupational Therapist 14. Pharmacist
15. Private / Independent Caregiver 16. Production / Manufacturing
17. Purchasing / Procurement 18. Research & Development
19. Sales & Marketing 20. Others (please specify)
3 YOUR AREA OF SPECIALTY (for medical professionals only)
01. Anaesthesiology 02. Biomedical Engineering
03. Cardiology 04. Clinical Laboratory
05. Communication, IT & Connected Health 06. Emergency Medicine
07. Geriatrics Medicine 08. General Medicine
09. Intensive / Critical Care 10. Life Sciences
11. Neurosurgery 12. Nursing
13. Obstetrics & Gynaecology 14. Ophthalmology
15. Pharmaceuticals 16. Physiotherapy / Occupational Therapy / Orthopaedics
17. Radiology / Imaging 18. Respiratory Medicine
19. Others (please specify)
4 PURPOSE OF VISIT
01. To Purchase 02. Gather Information
03. Seek Representation 04. Visit Suppliers
05. Evaluate for Future Participation 06. To Attend Medical Festival Asia Conferences
07. To Attend Paradigm Shifts In Healthcare Symposium 08. To Attend Start-Up Park Podium
09. To Attend Medicine + Sports Conference (please proceed for fee payment at end of form) 10. To Attend Wearable Technologies Conference (please proceed for fee payment at end of form)
11. To Attend Other Conferences / Seminar (please specify)
 12. Others (please specify)
5 PRODUCT INTEREST
01. Accident & Emergency Equipment 02. Building Technology & Services
03. Catering & Kitchen Equipment 04. Communication, IT & Connected Health
05. Dental Equipment & Supplies 06. Diagnostics
07. Disinfection & Disposal Systems 08. Electromedical Equipment / Medical Technology
09. Fabrics / Laundry 10. Medical Furniture & Equipment
11. Laboratory Equipment 12. Medical Consumables
13. Ophthalmic Supplies 14. Pharmaceutical Supplies
15. Rehabilitation Equipment / Orthopaedic Supplies 16. Services & Publications
17. Others (please specify)


REGISTRATION POLICY / BUSINESS CONTACT INFORMATION CONSENT
By registering as a visitor, I consent for the organizer to collect, use and disclose my Business Contact Information for these purposes:
We seek your understanding to accept all 4 consent requests to deliver a purposeful & engaging event experience for all involved. *Click here for more details on the organizer’s Registration and Privacy Policy.