WORLD SUMMIT ON THE INFORMATION SOCIETY (WSIS) Designation of focal point for Registration WSIS+10 High-Level Event, 13-17 April 2014 DESIGNATION OF A FOCAL POINT FOR REGISTRATION For NGOs, Civil society, Private Sector, Univ./Academia, Government, others: please provide contact details of a focal point who will be responsible for registering all members of your entity : First Name: Last Name: E-mail address: Telephone Number: Stamp and signature of the Organization (for representatives of an NGO, civil society or business entities): (Name – Function) We thank you for having filled out this questionnaire. Please send it to the e-mail indicated above.