LabAsia Exhibitor Registration Form
  1. PDPA Statement
    By providing your personal data through the registration form below, you agree and consent that ECMI ITE Asia may collect, use and disclose your personal data for the purposes of processing your personal data for the following purposes in accordance with the Personal Data Protection Act 2010 and our personal data protection policy on our website www.lab-asia.com:
    a) To communicate with you;
    b) to assist, process, and provide services to you;
    c) for record keeping purposes with our organization and
    d) For providing marketing material that you have consented to receive under this notice.

    Kindly fill up the form below and we shall respond to your enquiries as soon as possible.
    Please ensure you have filled up all the fields correctly so that we are able to receive the form and contact you.

  2. Company Name(*)
    Invalid Input
  3. Name(*)
    Invalid Input
  4. Job Title(*)
    Invalid Input
  5. Email Address(*)
    Invalid Input
  6. Mobile Number(*)
    Invalid Input
    (Format:+60123456789)
  7. I am interested to participate in:(*)


    Invalid Input
  8. Type of company:(*)




    Invalid Input
  9. Booth Options:(*)


    Invalid Input
  10. Nature of Business:(*)
    Invalid Input
  11. How did you learn about LabAsia / LabIndonesia?(*)







    Invalid Input
  12. CAPTCHA
    CAPTCHA
      RefreshInvalid Input
  13.