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
Did you visit MEDICAL MANUFACTURING ASIA 2018?*  
Will you be visiting MEDICAL FAIR ASIA 2022?*  
MEDICAL MANUFACTURING 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. Consultancy
03. Contract Manufacturer (CM) 04. Distributor / Trader / Importer & Exporter
05. Government / Regulatory Body 06. Original Brand Manufacturer (OBM)
07. Original Design Manufacturer (ODM) 08. Original Equipment Manufacturer (OEM)
09. Procurement Service / Sourcing Agent 10. Service Provider
11. University / Training / Research Institute 12. Others (please specify)
2) INDUSTRY SECTOR
01. Biotechnology 02. Chemical & Raw Materials
03. Electronics & Electrical 04. Information Systems Technology
05. Machinery & Equipment 06. Medical Devices, Instruments & Supplies
07. Medical Laboratories & Research 08. Medical Practice & Healthcare Services
09. Metal Parts & Components Manufacturing 10. Mould & Die Manufacturing / Tooling
11. Pharmaceuticals 12. Plastic & Rubber Products Manufacturing
13. Semiconductor & Precision Engineering 14. Others (please specify)
3) YOUR PRIMARY JOB FUNCTION (tick one only)
01. CEO / Managing Director / Senior Management 02. Consultant
03. Design & Branding 04. IT System / Process Management
05. Maintenance / Quality Control 06. Production / Manufacturing
07. Purchasing / Procurement 08. Research & Development
09. Sales & Marketing 10. Technical & Engineering
11. 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 IVAM Forum
07. To Attend Other Conferences / Seminar (please specify)
08. Others (please specify)
5 PRODUCT INTEREST
5A) Components for Medical Technology
01. Cables 02. Components / Modules
03. Drive Systems 04. Electronics
05. Equipment Communication / IT / Networks 06. Filters
07. Frame 08. Motors
09. Pumps 10. Sensors
11. Tubes 12. Valves
13. Others (please specify)
5B) Materials / Substance
01. Adhesives 02. Biocompatible Materials
03. Coating & Functional Surfaces 04. Nano-materials
05. New Materials 06. Plastics and Elastomers, Resins / Raw Materials
07. Smart Materials 08. Others (please specify)
5C) Micro- / Nano-technology
01. Drug Delivery 02. Lab-on-a-Chip
03. Micro Actuators 04. Micro Fluidics
05. Micro Sensors 06. Micro Structuring
07. Others (please specify)
5D) Production / Manufacturing
01. Assembly 02. Assembly, Automation and Production Technology
03. Clean Room Technology / Equipment 04. Contract Manufacture, Design, Construction, Research and Development
05. Engineering 06. Labelling, Bar Coding, Printing
07. Moulding Equipment 08. Packaging
09. Precision Processing 10. Process Technology
11. Quality Management 12. System Partnerships
13. Others (please specify)
5E) Testing
01. Testing / Inspection Equipment 02. Testing Services
03. Test Systems 04. Others (please specify)
5F) Services & Publications
01. Associations / Institutions 02. Audit Services
03. Financial & Leasing 04. Further Education & Training
05. Insurance Services for the Profession 06. Publications / Trade Literature
07. Regulatory Framework / Certification Authorities 08. 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.