UNITED NATIONS
HIGH COMMISSIONER FOR HUMAN RIGHTS
REGISTATION FORM
Expert workshop on the prohibition of incitement to hatred
12 – 13 October 2011, Santiago, Chile
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
the 3rd of October 2011. For further information please contact Mr. Philippe Tissier (ptissier@ohchr.org) or
Mr. Jochen De Vylder (jdevylder@ohchr.org).