Document 15167410

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STUDY TOUR ON "The contribution of civil society to justice and reconciliation in
the Western Balkans"
ORGANISED BY THE PEOPLE 2 PEOPLE PROGRAMME
REF: P2P 47782
PLACE & DATE: BRUSSELS & THE HAGUE, 28 FEBRUARY – 2 MARCH 2012
Instructions to participants:
1)
Read this form carefully and complete both pages in typewritten and title case letters only. Please
do not use all lowercase or uppercase (for example, type Veterinary Inspector, not VETERINARY
INSPECTOR or veterinary inspector).
2)
E-mail this form to Philippe Bartholmé (philippe.bartholme@ec.europa.eu).
3)
Please return this form before: Thursday 2 February 2012.
4)
Please quote the five-digit event reference above in all communications with the P2P team.
Tel: +32.2.299.99.63 Fax: +32.2.296.76.94
PARTICIPATION FORM
Country:
Mr
Ms
First name:
Surname/Family name:
(as on your passport)
Organisation:
Function/Position:
Office address:
Post code:
City:
Office Tel:
Office Fax:
Mobile Tel:
E-mail:
Passport number1:
Date of birth1:
1 We
kindly ask you for this information as it has to be given to the security staff at the meeting venue.
I would like to travel by:
PLANE
TRAIN
(SELECT ONE)
Airport of Departure:
Please indicate if you use a wheelchair or any specific equipment that should be noticed to the airline:
I would like GTZ to book a hotel room:
YES
NO
Please note that if you do not answer GTZ will not book a hotel room.
Please indicate if you need a room adapted to people with physical disabilities:
YES
NO
Will you need to apply for a Schengen visa?
YES
NO
If yes, please note that the European Commission will provide you with an official invitation letter that may
be needed for obtaining your visa. However, you will be fully responsible for obtaining your visa in due
time.
I agree to share my contact details with the other participants for the purpose of this workshop (country,
name, organisation, complete office address, phone and fax numbers, e-mail address):
YES
NO
Data Protection :
Personal data contained in this document will be processed in accordance with the privacy statement of the
TAIEX instrument (see http://taiex.ec.europa.eu/PrivacyStatement) and in compliance with the
Regulation (EC) N° 45/2001.
Evaluation of TAIEX/P2P Events
With the view to strengthening our services, we will invite you to complete an evaluation form after the
event has taken place. Questions refer to the logistical arrangements, the overall quality of the event and/or
the contribution of experts; depending on the type of event you attended (study visit, expertise, workshop)
Note: Presentations delivered by speakers will be available after the event on the TAIEX website
(http://taiex.ec.europa.eu/, click Library).
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