Remote Participation: WSIS Forum 2013 Open Consultation Process on the Thematic Aspects and Innovations on the Format Phase Two: First Physical Meeting The WSIS Forum 2013 first physical meeting of the Open Consultation Process on the Thematic Aspects and Innovations on the Format will take place in Geneva on 16 November 2012 from 15h00–18h00. If you are unable to travel to Geneva, we encourage you to participate remotely, either as an observer or as a delegate. Information: First name: Last name: Email: Telephone: Organization name: Organization type: -- Please Select -- Country: Address: Short Bio: Page 1 of 2 Type of Participation: (please select one) Please refer to Table 1 for descriptions of the types of remote participation available. Remote Observer: Remote Delegate: Type of participation descriptions: Type of participation Comment Remote Observer Remote observers will benefit from access to the live audio/video webcast of discussions taking place in the meeting. In addition, a live commentary will provide contextual information about, speakers, documents, presentations, etc. Remote observers can provide input via the comments section. Moderated comments will be posted to the liveblog and visible to all participants including delegates physically present at the meeting. Final date for registration: 14 November 2012. Remote Delegate Remote delegates will benefit from the additional possibility of making audio interventions. To avail of this facility please contact the WSIS Team at wsis-info@itu.int by the 9th of November. Final date for registration: 9 November 2012. - Table 1 If you have any questions on the most appropriate form of participation, please contact the WSIS Team at wsis-info@itu.int Please submit the completed form with a photograph attached to wsis-info@itu.int Page 2 of 2