UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS REGISTRATION FORM Expert workshop on the prohibition of incitement to hatred 4 – 5 October 2012, Rabat, Morocco Mr. or Ms. Surname________________________First Name______________________ Official position_______________________________________________________________________ Country/Organisation/Institution__________________________________________________________ Official Address ______________________________________________________________________ Passport number_______________________________Nationality______________________________ Phone _________________________________ Fax ________________________________________ E-mail _____________________________________________________________________________ Attends the meeting as: (please check only one box) Expert Government Representative Representative of UN Agency, Fund, Programme, or Specialized Agency Representative of Intergovernmental Organization Representative of Regional Organization Representative of International Non-Governmental organization Representative of National/Regional Non-Governmental organization Representative of National Human Rights Institution Media Date ______________________________ Signature __________________________________ Note: Please return this form duly filled in to article20ICCPR@ohchr.org or fax to + 41 22 917 90 34 by 21 September 2012. For further information please contact Ms. Danielle Kirby (dkirby@ohchr.org) or Mr. Jochen De Vylder (jdevylder@ohchr.org).