Individual Speaker Application form

Individual Speaker Application form

This form aims to provide an opportunity for you to submit a speaker application and proposed topics for WHX Tech. For a more effective review, please elaborate on your reasons for wishing to participate and the value you plan to bring.

Please note: Submission of a paper or topic does not guarantee participation at WHX Tech All submissions are subject to a review process. Successful applicants will receive a confirmation email.

Personal information

Salutation

Select or enter value

First Name*

Last Name*

Your Email*

Company Name*

Job Title*

Mobile Number (include country code)*

A short summary of your achievements and experience: (max 200 words)*

Participation details

Preferred Format of Participation (please select all that apply)*

Fireside

Panel

Keynote

Why do you want to speak at WHX Tech? Provide details about your proposed talk:*

Are there specific outcomes or takeaways you hope attendees will gain from your talk?*

Previous experience

Do you have any prior experience in public speaking, and can you provide references or examples of past speaking engagements?*

Have you participated as a speaker at WHX Dubai (Formerly Arab Health) before? If yes, specify stage/conference, year, and format.*

Track / Area / Sector(s) of Interest (please select all that apply)*

Digital Health

AI and Technology

Healthcare System Transformation

Leadership

Investment & Entrepreneurship

Case Studies

Live Demonstrations

Social Media Profiles

LinkedIn Profile*

Instagram handle

Twitter / X handle

Website URL

Should you be shortlisted, would you be in a position to manage your own travel and accommodation arrangements?*

Yes

Additional information

Please include any other relevant information we should take into consideration when reviewing your submission

File Upload*

Please attach any documents you would like us to look at when when considering your submission

Drag and drop files here or

Send me a copy of my responses

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