Registration Form

First name / Surname:

Passport Number:

Organisation/department:

Travel from:

April 22 Participation: Yes / No 

April 22 Lunch: Yes / No

April 23 Participation: Yes / No  

April 23 Lunch: Yes / No

I will attend the welcome cocktail/dinner April 22

Yes / No

Special requirements: (diet, etc.)

Yes / No

Date, Signature: Applicant

Date, Signature: Representative of the Institution