Exhibitor & Sponsor form The information provided in this form will be published on the ITU Telecom World 2019 Exhibitor & Sponsor Listing webpage in June and in the event app in August. This is your opportunity to provide other event participants with interesting, relevant and useful information on your company, country or organization and its activities for networking purposes and to set up meetings with you onsite. Please complete and submit the form as soon as possible. * mandatory fields DateAdministrationStatusValidatedRevised and sent to validateEdited contents Company Description Company Address Why should Exhibition visitors come to your stand? Activities Actions Revised Logo entered in CRM Description/Activities entered in CRM MessageCompany InformationCompany/Organization name*Country*Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwedenSwitzerlandSyriaTaiwan, ChinaTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCompany Description*(max 200 words)Company Logo*(jpg/png/gif format)Accepted file types: jpg, png, gif.Do you identify your company as an SME?* Yes No Company DetailsCompany Address(street/PO box, ZIP code, city)Company Telephone(country/area/number)Company Email Company Website Links to relevant video(Youtube or Vimeo) Social Links:FacebookTwitterLinkedinOtherContact PersonPlease provide the name of someone from your company or delegation who will be present at the event. Other event participants can then use these details to ask for more information on your organization or request a meeting with you at the event - a great opportunity to promote your stand, network and connect directly.Can we publish these details on the website and app?* Yes No Title*MrMsFirst Name*Last Name*Job Title*Email* Please note: a confirmation e-mail will be sent to the above addressTelephone(country/area/number)Mobile(country/number)Stand ActivityUse this section to engage with your audience by providing as much information as possible on what event participants can do, see, discuss and find out about on your stand. Who can they meet, what projects or initiatives are you showcasing, when are you planning presentations or demos? This is your chance to start promoting your event presence!Stand Focus* Smart health 5G IoT Universal access SMEs/ICT ecosystem Trust and Smart cities AI Smart finance Smart education Trust and security Smart agriculture Other Please specify*Why should Exhibition visitors come to your stand?(max 200 words)Activities hosted during the Event?Activity:Brief description:Date:Time: If you are participating with a National or Thematic Pavilion, please fill in the details below:Pavilion NamePlease selectAngola PavilionAzerbaijan PavilionBangladesh PavilionBurundi PavilionCameroon PavilionChina PavilionEquatorial Guinea PavilionGhana PavilionHungary PavilionIndonesia PavilionIran PavilionJapan PavilionKorea Startup PavilionMozambique PavilionRwanda PavilionSouth Africa PavilionYour Stand Name inside the PavilionYour Stand Number By submitting this form to ITU, the Exhibitor/Sponsor/Pavilion Member hereby represents and warrants to ITU that the information contained in this form is true, accurate and complete in all material aspects and it does not contain any untrue or misleading information. The Pavilion Member additionally represents and warrants that it has already been accepted by the Pavilion Organizer to participate within the above-mentioned Pavilion. ITU reserves the right to refuse participation to any Exhibitor/Sponsor/Pavilion Member in breach of the aforementioned representations and warranties.