IPSC Emerging Leaders Application

Name *

First Name

Last Name

Region *

What region are living in?

SAARC

Pacifica (excluding NZ and Australia)

Non SAARC

Phone *

Country

(###)

###

####

Country of Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Terms and Conditions *

I confirm that all information provided is accurate.

I understand that submission of this form does not guarantee admission to the forum.

I consent to my recommenders being contacted.

I understand that the Emerging Leaders Forum 2025 and its organisers may amend or vary the program, its content, dates and speakers.

Consent for Communications *

I agree to receive updates and communications from IPSC related to this event and future opportunities.