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Registration Form for 2018 Executive Board Meeting (Abidjan, Ivory Coast)

City (Country)

Name and Surname

Mr. or. MS

Mr.Ms

Date of birth ( if you need visa)

Passport number (if you need visa)

Citizenship

Title or Official Position

Address

Telephone

Mobile

Fax

Name of contact person (In case of emergency)

Date and hour of arrival

Time:

Airline and Flight Number

From where

Date and hour of departuree

Time:

To where

Airline and flight number of departure

Dietary restriction

NoneVegetarianAllergiesOther

Date for Accomodation from

Number of nights

Number of nights you will stay

Registration