Events · Form

Sample Form: درخواست سخنرانی در رویداد

موضوع، خلاصه، سابقه‌ی ارائه، ویدئوی نمونه و نیازهای فنی.

9 questions · Free up to 50 responses a month

Print-ready Word and PDF files — free, no sign-up.

About this template

“درخواست سخنرانی در رویداد” has 9 questions; 5 are required and 4 optional. Question types: Short text (4), Mobile number (1), Email (1), Long text (1), Single choice (1), URL (1). 3 ready-made options across 1 choice questions, all editable in the online version.

In the online version of this template

  • Mobile numbers are validated against the Iranian number format.

Questions in this template

  1. 1.

    نام و نام خانوادگی *

    (Short text)
  2. 2.

    شماره موبایل *

    (Mobile number)
  3. 3.

    ایمیل *

    (Email)
  4. 4.

    سازمان / سمت

    (Short text)
  5. 5.

    عنوان سخنرانی *

    (Short text)
  6. 6.

    خلاصه *

    (Long text)
  7. 7.

    مدت

    (Single choice)
    • ۱۵ دقیقه
    • ۳۰ دقیقه
    • ۴۵ دقیقه
  8. 8.

    لینک نمونه‌ی ارائه‌ی قبلی

    (URL)
  9. 9.

    نیازهای فنی

    (Short text)

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you

Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “درخواست سخنرانی در رویداد”.
  3. Change the questions as you like, publish the form and send the link.
All Events templates