Author Intent Form


		Organized by

Author Intent Form
(To be submitted for Paper/Practice/Tutorial)

Field marked with* are mandatory.
In case you are unable to submit the form, please write to us at
conferences@qaiglobal.com

	Name of Author(s)^*
	Designation^*
	Organization^*
	Address^*
	City^*
	State^*
	Country^*
	PIN/Zip^*
	Phone ^*
	Fax
	Email^*
	Select Type^*
	Paper Title^*
	Email ID of Main Author to be Contacted^*

	Learning Objectives for the Audience (Write 3 Objectives)

	Short Abstract^* (Summarize your abstract)

	Short biography of the author(s) ^*

	Audience Description: (Who will benefit the most from this presentation?)

	Lessons to be learnt from the presentation


By submitting and signing this application, I acknowledge that I have my company's endorsement to participate and share this information.


Name^*
Date^*