For IECN use only

Australian Government
Department of Immigration and Citizenship

IECN
(INTERNATIONAL EVENT COORDINATOR NETWORK)
EVENT PARTICIPANTS - DATA COLLECTION FORM
Name of Event
Event Dates
Event Organiser Email
COUNTRY OF PASSPORT

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au
PASSPORT NUMBER

Name of Event Organiser

Event Organiser Telephone

PASSPORT
CURRENT COUNTRY
EXPIRY DATE
OF RESIDENCE

DATE OF
BIRTH

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

LAST NAME
(AS IT APPEARS IN
PASSPORT)

FIRST AND MIDDLE NAMES

(IN FULL)

1 of 10

GENDER

Sydney Convention & Exhibition Center

INVITED BY
REGISTRATION
APPLICANT CONTACT
EVENT
FEES PAID
DETAILS (ie. email, telephone,
ORGANISER?
YES / NO / N/A
address)
YES / NO

IECN Participant
Type
(ie. Perform,
Compete, Speak,
Attend)

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

2 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

3 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

4 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

5 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

6 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

7 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

8 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

Event Location
IECN State Location

9 of 10

Sydney Convention & Exhibition Center

For IECN use only

Name of Event
Event Dates
Event Organiser Email

AutoEquip Expo
8-10 August 2008
rossh@expertiseevents.com.au

Name of Event Organiser

Event Organiser Telephone

Expertise Events
+61 2 9452 7516

10 of 10

Event Location
IECN State Location

Sydney Convention & Exhibition Center