ML22081A365: Difference between revisions
StriderTol (talk | contribs) (StriderTol Bot insert) |
StriderTol (talk | contribs) (StriderTol Bot change) |
||
Line 15: | Line 15: | ||
=Text= | =Text= | ||
{{#Wiki_filter:NRC FORM 1105 | {{#Wiki_filter:NRC FORM 1105 U.S. NUCLEAR REGULATORY COMMISSION (11-2019) | ||
RIC SPEAKER CONFIRMATION FORM Session Information (Session Chair or Coordinator to Complete): | RIC SPEAKER CONFIRMATION FORM | ||
Session Date | |||
Name of Session Chair | Session Information (Session Chair or Coordinator to Complete): | ||
Session Date Time of Session (7:00, etc.) Session Number | |||
Session Title | |||
Name of Session Chair Phone Number of Session Chair E-mail Address of Session Chair | |||
Name of Session Coordinator Phone Number of Session Coordinator E-mail Address of Session Coordinator | |||
Speaker Confirmation Information (Speaker to Complete): | |||
Please TYPE the requested information below. Please refrain from using abbreviations and ensure that acronyms are spelled out. | Please TYPE the requested information below. Please refrain from using abbreviations and ensure that acronyms are spelled out. | ||
Applicable information will be used for the purpose of populating the on-line conference program. | Applicable information will be used for the purpose of populating the on-line conference program. | ||
Speaker's Full Name | Speaker's Full Name Speaker's Full Position Title Speaker's Organization Name | ||
Proposed Presentation Title | |||
Speaker's Business Mailing Address (City, State & Zip code)Speaker's Business Telephone NumberSpeaker's Business E-mail Address | |||
Speaker Presentation Information (Speaker to Complete): | |||
Proposed Presentation Title | |||
Speaker Biographical Information (Speaker to Complete): | |||
Please provide a short biography in narrative form below. The information will be used for introductions at the conference and will be posted on the RIC public website. | Please provide a short biography in narrative form below. The information will be used for introductions at the conference and will be posted on the RIC public website. | ||
Date Submitted: Please save form and submit via (MM/DD/YYYY) e-mail to: RICMST.Resource@nrc.gov | |||
NRC Form 1105 (11-2019) Page 1 of 1}} | |||
Date Submitted: |
Latest revision as of 13:48, 18 November 2024
ML22081A365 | |
Person / Time | |
---|---|
Issue date: | 01/22/2022 |
From: | John Lane Office of Nuclear Regulatory Research |
To: | |
Lane J | |
References | |
Download: ML22081A365 (1) | |
Text
NRC FORM 1105 U.S. NUCLEAR REGULATORY COMMISSION (11-2019)
RIC SPEAKER CONFIRMATION FORM
Session Information (Session Chair or Coordinator to Complete):
Session Date Time of Session (7:00, etc.) Session Number
Session Title
Name of Session Chair Phone Number of Session Chair E-mail Address of Session Chair
Name of Session Coordinator Phone Number of Session Coordinator E-mail Address of Session Coordinator
Speaker Confirmation Information (Speaker to Complete):
Please TYPE the requested information below. Please refrain from using abbreviations and ensure that acronyms are spelled out.
Applicable information will be used for the purpose of populating the on-line conference program.
Speaker's Full Name Speaker's Full Position Title Speaker's Organization Name
Speaker's Business Mailing Address (City, State & Zip code)Speaker's Business Telephone NumberSpeaker's Business E-mail Address
Speaker Presentation Information (Speaker to Complete):
Proposed Presentation Title
Speaker Biographical Information (Speaker to Complete):
Please provide a short biography in narrative form below. The information will be used for introductions at the conference and will be posted on the RIC public website.
Date Submitted: Please save form and submit via (MM/DD/YYYY) e-mail to: RICMST.Resource@nrc.gov
NRC Form 1105 (11-2019) Page 1 of 1