Application Form to Host the EMS Asia Conference Please fill in this form in this format. Append any accompanying material as annexes. Terms and Conditions 1. Bidder must be a current Asian EMS Council (AEMSC)/ Asian Association for Emergency Medical Services (AAEMS) member. 2. The conference committee is to sponsor the airfare and accommodation of a minimum of 11 speakers from the AEMSC or Pan-Asian Resuscitation Outcomes Study clinical research network. 3. The bidding member/organisation will be responsible for any financial loss that might arise from the conference. 4. The conference is to include the Asian EMS award (Individual, Lifetime, and Institutional) ceremony. 5. The conference registration fees must include an option for participants to register and pay for a combined AAEMS membership fees and registration fees. 50% of the combined registration fees shall be paid to the AAEMS. 6. Within 3 months of the conclusion of the conference, a report detailing the following should be forwarded to the AEMSC: Program Details including the number and type of tracks offered Attendance details by country (actual) and track (estimated) Number of combined AAEMS and conference registrations, non-AAEMS full registration, Day Registration (depending on types of registration set by committee) Trade Display statistics, details, names of exhibitors Social agenda Financial reporting Participant evaluations Other information as appropriate 4.1 Details of Proposed Site 1. Year of Conference: 2. Country: 3. City: 4. Venue(s) (Please give address): 5. Can all the activities (Pan-Asian Resuscitation Outcomes Study, Asian EMS Council, and PanAsian Trauma Outcomes Study meetings, workshops. conference, exhibition, etc) be accommodated there? (YES/NO) 6. Details of lecture theatres suitable for meetings and workshops (number and capacities, both in theatre and classroom arrangements): 7. Area available for exhibition (in square feet/metres): 8. Number of days of conference (including pre-conference workshops): 9. Theme of conference: 4.2 Accommodation Costs 1. Summarize accommodation available (number and categories of hotels, number of rooms and approximate room costs, location relative to the conference venue). 4.3 Local Organization 1. Will the conference be supported by any local societies/ institutions? 2. Composition of organizing committee (including chair, co-chairs, treasurer, etc.): 3. What is the expected number of participants and the target audience (e.g. physicians, nurses, etc.)? 4. What tracks, invited speakers, or exhibitors might provide interest? 5. Will transport be provided/ transport arrangement be made if hotels are located at a distance from the conference venue? 4.4 Financial Arrangements 1. What do you anticipate in terms of fees charged for the conference, and expenses for the conference? Please submit a budget proposal, using the attached budget template. 2. Can sponsorship be obtained for the conference? If so, give details (e.g. names of targeted sponsors): 4.5 Professional Conference Organizer (PCO) Should a Professional Conference Organizer be needed by the bidder, please indicate the name and references of the PCO: 4.6 Other Relevant Details Please include any other details that you feel will support your application.