PRE-REGISTRATION FORM
Open to Trade Visitors only
Deadline :
30 MAY 2011
*
Mandatory
Title :
*
- -
Mr
Mrs
Ms
Dr.
Ir.
Name :
*
Job Title / Designation :
*
Company :
*
Address 1:
*
Address 2:
Address 3:
State :
*
Country :
*
SELECT ONE
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austriam
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan ROC
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Virgin Islands (British)
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Postcode :
*
Tel :
*
(eg: 60312345678)
Fax :
(eg: 60312345678)
Mobile :
(eg: 60123456789)
Email :
*
A. Which of these most closely matches your job function? (tick ONE only)
01
Architect / Draftman / Designer
02
Chairman / Director /Owner / Partner
03
Consultancy
04
Corporate & General Management
05
Education & Training
06
Engineering
07
Exploration / Drilling
08
Foreman / Supervisor
09
General Management
10
Geology / Geophysical
11
Government Official
12
Inspector / Tester
13
Maintenance
14
Operations / Plant Management
15
Petroleum Geologist
16
Petroleum Geophysicist
17
Production
18
Project Management
19
Purchasing / Procurement
20
Quality Assurance & Control
21
Research & Development
22
Safety / Environment Management
23
Sales & Marketing
24
Site Supervision
25
Technical Services
26
Welding
27
Others
Please specify:
B. Please tick your company's main activity (tick ONE only).
01
Approval / Testing / Inspection Services
02
Vessels
03
Chemical Plant / Factory
04
Construction
05
Distributor / Manufacturer's Representative
06
Drilling Contractor / Equipment
07
Education & Training
08
Engineering Construction & Contracting Services
09
Environmental Protection / Solutions Control
10
Financial Services
11
Geological / Geophysical Seismic Services
12
Inspection / Maintenance Equipment
13
LNG / Petrochemical Plant
14
Manufacturer's Representative / Vendor
15
Marine Support
16
Natural Oil Company / Government Institutions
17
Offshore Platforms / Supplies / Services
18
Oil & Gas Exploration, Production & Distribution
19
Oil & Gas Processing & Refinery
20
Pipelines Operation / Installation
21
Plant Engineering & Construction
22
Process Engineering
23
Project Consultancy
24
Repair Services (including Welding Shops)
25
Research & Development
26
Rig / Fabricator / Operator
27
Security
28
Shipbuilding & Marine Engineering
29
Trade Associations
30
Transportation, Storage & Handling
31
Others
Please specify:
C. Please indicate the product & services you are interested in.
01
Chemical Engineering Systems
02
Cleaning Equipment
03
Communications Equipment
04
Computer Systems / Data Management Systems
05
Construction / Engineering Equipment
06
Cryogenic Technology & Equipment
07
Data Acquisation
08
Design & Consultancy
09
Distillation Systems & Equipment
10
Drilling & Downhole Technology
11
Electrical & Lighting Systems
12
Environmental Central / Equipment & Services
13
Exploration & Production Technology
14
Fixed & Floating Offshore Platforms
15
Furnaces & Industrial Ovens
16
Gas Treatment & Processing
17
Geological, Geophysical & Reservoir Evaluation
18
Global Positioning Systems
19
Gouging Accessories
20
Grinding & Finishing Equipment
21
Heat Exchange Systems
22
Heating / Treating Stress Relief / Heating Equipment
23
Inspection / Testing / Quality Control Equipment
24
Instrumentation & Control Systems
25
Laboratory Equipment
26
LNG Technology & Equipment
27
Marine Equipment & Services
28
Material Handling & Storage Equipment
29
Meters, Gauges & Indicators
30
Offshore Well Equipment & Services
31
Oil & Gas Processing Equipment
32
Pipeling Engineering
33
Power Generation
34
Pump & Compressors
35
Recovery Systems
36
Safety & Health Equipment
37
Satellite Image Processing
38
Seismic & Oceeanographic Technology
39
Ships, Boats & Vessels Equipment & Services
40
Submerged Arc Welding Equipment & Related Supplies
41
Tankage Fabrication
42
Turnkey Contractors
43
Valves & Fittings
44
Welding Machines & Consummables
45
Others
Please specify:
D. Please tick your main purpose in attending this show. (one only)
01
To Purchase Products
02
To Recommend Purchase of Products
03
To Source For The Latest Market Information
04
Others
Please specify:
E. How did you find out about OGA 2011?
01
Newspaper [please indicate below, which one]
02
Berita Harian
03
Business Times
04
Nanyang Siang Pau
05
New Straits Times
06
Sin Chew Daily
07
The Star
08
Others
Please specify:
09
Direct Mail
10
From The Organiser
11
From An Exhibitor
12
Posters / Banners
13
Magazines (Please indicate below, which one)
14
Petromin
15
Hydrocarbon Asia
16
Pipeliner Oil & Gas News
17
Offshore Engineering
18
DEW Journal
19
Oil and Gas Australia
20
EnergyAsia
21
Industrial Automation Asia
22
Industrial Automation Annual Directory
23
Upstream
24
Fuel & Lubes Asia
25
The Oil & Gas Magazines
26
Marines & Offshore Oil & Gas Suppliers Directory
27
Control Engineering Asia
28
Asian Oil and Gas
29
Others
Please specify:
For visitors outside Kuala Lumpur and Malaysia:
F. Which airline will you use to travel to attend OGA 2011?
01
Malaysia Airlines
02
Others
Please specify:
G. Which hotel do you plan to stay at during your visit to OGA 2011?
