Making workplace pensions work

Speaker request form

We will need a clear idea of your proposed presentation topic before we can process your request . It will help us to respond more quickly if you can provide details of any other speakers and the types of organisations you expect to be represented in the audience. Please note that we may take up to ten working days to respond to your request.

This request form is for those wishing to have a speaker at an event. For anyone wishing for an internal meeting to discuss automatic enrolment they are asked to email customersupport@autoenrol.tpr.gov.uk

Contact details

You must fill in the field marked with an asterisk*

* Your name:

* Your email:

* Your phone number:

Event details

You must fill in the field marked with an asterisk*

* Event title:

* Event date:

Event / presentation time:

* Organisation: Which organisation is hosting this event? Is this a commerical enterprise?

* Event location:

Attendees: Number of attendees at this event in total
Number of attendees expected to attend this event

* Audience breakdown: Please indicate the job role or type of organisation you would expect to be represented at this event

Presentation details

You must fill in the field marked with an asterisk*

Proposed speaker:

* Proposed presentation topic:

Presentation format: For example speech / roundtable / panel discussion / debate Speech
Roundtable
Panel discussion
Debate
Other

Other presetnation format:

Proposed time and presentation length:

Other speakers: Please indicate any other confirmed speakers.

Powerpoint presentation required: YesNo

Extra detail

Publicity / PR: Do you intend to carry out any proactive press / PR activity in connection with this event?

Are you filming/videoing the event for future broadcast? YesNo

By agreeing to take part in this event we license you to broadcast the presentation and its parts for 12 weeks, or until earlier notice of withdrawal of permission, provided:

Each part is broadcast whole and without interpolation.
Any questions and answers filmed are only broadcast in conjunction with the presentation.
The Pensions Regulator has had sight of the contents prior to broadcast.

Are any complimentary delegate passes available? YesNo

* I have read and accept the terms and conditions

Privacy statement

The Pensions Regulator is a data controller for the purposes of the Data Protection Act 1998 (DPA). We hold and process in accordance with the principles set out in the DPA any personal data (including personal data of other individuals or persons) supplied to us in the course of the exercise of our statutory functions / duties.

Any information supplied to The Pensions Regulator may be used (including further disclosure) in connection with any of our statutory functions. For further information please see our privacy notice.