World Blindness Summit

Date: September 1-5, 2025

Location: Anhembi District Convention Center - São Paulo, Brazil

Thank you for your interest in participating in the World Blindness Summit. Please fill in all the required information carefully. Your data will be processed in accordance with Brazil’s General Data Protection Law (LGPD)

Attention: Fields marked with * are mandatory.

Personal Information

Full Name:

Preferred Name (The preferred name is the name by which a person identifies and wishes to be called, which may differ from the name on official documents):

Title:

Gender: (Select one option)

Cisgender woman (A person assigned female at birth who identifies as a woman)
Transgender woman (A person assigned male at birth who identifies as a woman)
Cisgender man (A person assigned male at birth who identifies as a man)
Transgender man (A person assigned female at birth who identifies as a man)
Non-binary (A person whose gender identity does not fit exclusively as male or female. They may identify with a mix of genders, no gender, or a gender outside the traditional binary)
Prefer not to disclose

Nationality ( Country of birth):

CPF number (if Brazilian, Fill in the format 000.000.000-00)):

Confirm CPF number:

RG number (if Brazilian):

Passport Number (if foreigner):

Confirm Passport Number:

Date of birth:

Day

Month

Year

Residential Address

Country of Residence:

CEP:

Estado:

Município:

Bairro:

Logradouro:

Número:

Complemento:

Contact

Phone number:

WhatsApp number:

E-mail:

Full name of emergency contact:

Relationship with Emergency Contact:

Emergency Contact Phone Number:

Disability Information

Do you have a disability?

If yes, specify:

Do you use any assistive device for mobility?

If yes, specify:

Do you require accessible printed materials?

If yes, select the preferred format

Organization Information

Organization Name (Fill in this field if you are affiliated with an entity or representing a company or organization):

Country of the Organization:

CEP:

Estado:

Município:

Bairro:

Logradouro:

Número:

Complemento:

Position in the Organization:

Travel and Documentation Information

Do you require an invitation letter for a visa?

Do you require a sponsorship letter for a visa?

Cancellation Policy:

Once payment is made, cancellations will not be possible, except in cases of visa denial. Refunds will only be processed upon submission of the visa refusal document. Please ensure all information is correct and that you will be able to attend the event.

Declaration and Signature

I confirm that all the information provided is true and that I am aware of the cancellation policy.

Registration Form!World Blindness Summit