ICLRS
International Center for Law and Religion Studies
Home
About Us
Our Mission
Our Students
Center Leadership
Center Fellows
Publications
Annual Reports
Contact Us
Donate
Events
Calendar
Center News & Events
Annual International Law and Religion Symposium
Religious Freedom Annual Review
Resources
Research Databases
Strasbourg Consortium
Religious Freedom Brochures
Tips and Resources About Religious Freedom
Religious Freedom Library
Religious Freedom Toolkit
Headlines
Blog
2026 Uzbekistan Diplomacy of the Heart Conference
Salutation (e.g., Mr., Ms., Mrs., Dr., Prof., Rev.)
Given Names
(Required)
Surname or Family Name
(Required)
Honorific
Gender
(Required)
Male
Female
Prefer not to answer
Birthdate
(Required)
As indicated on your passport, please.
DD slash MM slash YYYY
Preferred Name on Badge
(Required)
Given and Surname only please.
Job Title/Position
(Required)
Organization Name
(Required)
Contact Information
Address Line 1
Address Line 2
Address Line 3
City
State/Province
Postal Code
Country
(Required)
Preferred Phone (include country and area code)
(Required)
WhatsApp Number (include country and area code)
(Required)
Preferred Email
(Required)
Alternate Email
Primary Language
(Required)
English Fluency
(Required)
Fluent
Conversational
Need Interpretation
Assistant Information
Assistant Name
Assistant Work Phone
Assistant Email Address
Are you traveling internationally or within Uzbekistan to the conference?
(Required)
Internationally
Within Uzbekistan
Passport and Visa Information
Full Name on Passport
(Required)
Passport Number
(Required)
Passport Issue Date
DD slash MM slash YYYY
Passport Expiration Date
DD slash MM slash YYYY
Passport Place of Issuance
Passport Issuer
Please upload or email a copy of your passport photo page
A copy may be emailed to Sherie Rogde
[email protected]
.
Max. file size: 20 MB.
I have uploaded or have sent a copy of the personal photo page of my passport.
(Required)
A copy may be emailed to Sherie Rogde
[email protected]
.
Yes
Do you need assistance to process visa?
(Required)
Yes
No
Please specify visa assistance needed
Travel Information
Departure City (and Airport)
(Required)
Return City (and Airport)
(Required)
Preferred Airline
Preferred Seating
Aisle
Window
Frequent Flyer Number (if available)
Guest Information
Will you be accompanied by spouse/adult guest?
Please note: Guest travel and additional hotel room costs are paid by the guest and not by the conference organizers.
Yes
No
Please carefully read the statement below.
(Required)
I acknowledge that I will be responsible for any additional travel and hotel fees.
What is the guest's relation to you?
Spouse/Guest's Given Name(s)
(Required)
Spouse/Guest's Surname or Family Name
(Required)
Will you be sharing a hotel room with your guest or does the guest need a separate hotel room?
(Required)
Shared Room, One Bed
Shared Room, Two Beds
Separate Guest Room
Conference Information
Dietary Restrictions
Other Special Needs
Please upload or email a high resolution headshot
A copy may be emailed to Sherie Rogde
[email protected]
.
Max. file size: 20 MB.
I have uploaded or have sent a high resolution headshot
(Required)
A copy may be emailed to Sherie Rogde
[email protected]
.
Yes
I am willing to receive further communications from the organizers (e.g., program information, flight arrangements, etc.)
(Required)
Yes
No
Please write a brief biography in paragraph form (Can cut and paste from another document)
(Required)
Link:
View 2026 Terms and Conditions
Consent
(Required)
I agree to the above terms and conditions relating to the event.
Participation Agreement
(Required)
I accept the invitation to participate in the 2026 Uzbekistan Diplomacy of the Heart Conference.
CAPTCHA
This field is hidden when viewing the form
Date
DD slash MM slash YYYY