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Official PDF Form

Speaker Booking Form

Download the official Speaker Booking Form, complete it at your convenience, and return it to our team. Ideal for organisations that require offline procurement or formal request processes.

Download the PDF Form

The Speaker Booking Form covers everything our team needs to assess your request — event details, speaker preference, format, and logistics. Complete and return it by email or mail.

HBCUEI Speaker Booking Form

2 pages — includes event details, speaker preferences, format options, and submission instructions.

Download PDF
PDF, approx. 150 KB — Adobe Reader or Preview required

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HBCUEI — Speaker Booking Form
Complete all sections and return by email
Preview
Section A — Your Details
Full Name
_____________________________
Title / Role
_____________________________
Organisation
_____________________________
Email Address
_____________________________
Phone Number
_____________________________
Country
_____________________________
Section B — Event Details
Event Name
_____________________________
Event Date
_____________________________
Location / City
_____________________________
Expected Attendance
_____________________________
Format
Keynote / Panel / Workshop
Section C — Speaker & Topic
Speaker Requested
Dr. Bhuiyan / Ms. Amin / Both
Preferred Topic
_____________________________
Additional Notes
___________________________________________________
Return completed form to: speaking@hbcumiei.org

Ready to Download?

Click below to get the full 2-page PDF. Complete it at your own pace and return by email. Our team will follow up within 5 business days.

Download the Booking Form (PDF)

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