Registration Form

To register, kindly submit the form below. It is requested that the registration be completed as soon as possible, and no later than January 20, 2017.

Kindly note that due to new restrictions, it can take several weeks for U.S. visa applications to be processed; please apply early.

Name:
Title/ Designation:
Company:
Address:
City, State, Zip:
Telephone:
Email:
   
      

This form may be reproduced for registration. kmalik@instituteforpetroleumdevelopment.com


Krishan A. Malik, Ph.D.
Institute for Petroleum Development
3601 Needles Drive
Austin, TX 78746, USA

Telephone: (512) 329-0666

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