Incorporating:

                             

APPLICATION FOR PRE-REGISTRATION

MTN EXPO CENTRE JOHANNESBURG

4 - 8 October 2010

PLEASE COMPLETE THE SECTIONS BELOW IN FULL
  Title :
  First Name :
  Surname :
  Company  :
  Postal Address :
   
  Postal Code :
  Dial Code:       Telephone:
  Fax Code:        Fax:         
  E-Mail :
     
     

B/ ACTIVITY OF ORGANISATION 
             
  1     Armaments  
  2     Automotive  
  3     Civil Engineering  
  4     Communications  
  5     Electrical Engineering  
  6     Emergency Services  
  7     Environment  
  8     Foundries  
  9     Oil/Gas Supplies  
  10     General & Specialised Engineering  
  11     Government / Parastatal  
  12     Iron and Steel  
  13     Machine Tools  
  14     Manufacturing  
  15     Mechanical Engineering  
  16     Mining  
  16a     Underground  
  16b     Surface  
  16c     Open-cast  
  17     Occupational Health  
  18     Petro/Chemical  
  19     Plant Contracting  
  20     Power Generation  
  21     Professional Services  
  22     Processing  
  23     Public Works  
  24     Safety  
  25     Transport  
  26     Training and Education  
  27     Other (specify)  
         

 
             

C/ JOB CATEGORY                          
           
  1     Director/Owner
  2     General Manager
  3     Mine Manager/ Supervisor
  4     Mine Captain/ Shift Boss
  5     Buyer
  6     Engineer
  7     Technician
  8     Foreman
  9     Training Officer
  10     Production Manager
  11     Safety Officer
  12     Project Manager
  13     Metallurgist
  14     Key Government Official
  15     Quality Controller
  16     Analyst
  17     Loss Control Manager
  18     SHEQ Officer / SHEQ Manager
  19     Other (specify below)
         
 
Provide a short description of your company
 
 

Disclaimer: Right of admission reserved. By completing this ticket and entering the show, I agree to be contacted in a business capacity via the Electra Mining Database