Regional School of Public Administration (Phase 2)
This programme is financed by the European Commission
REGISTRATION FORM
We kindly request you to return the completed form before 24 August 2010 to the following address:
BiH LO, ReSPA Secretariat,
Fax :
+387 33 201 741
E-mail :
bih1@respaweb.eu
Training on
The Application of HR Instruments
Tirana, 14-17 September 2010
Surname (as in passport):
……………………………………………………………..
Title: ……………
…………………………………………………………………………..
First name (as in passport):
M/F
………………………………………………………………………………………………..
Current position:
Organisation:
……………………………………………………………………………………………………
Department:
…………………………………………………………………………………………………….
………………………………………………………………………………………………….
Work address:
…………………………………………………...
Country: ………………………….
………………………………………………………..
Fax no.: ………………………….
Postal code & town:
Tel. no. (work) :
…………………………………………………………………………………………………
E-mail address:
PASSPORT DETAILS
Civil status: ………………………………………………………………………………………............
Nationality:
………………………………………………………………………………………….
Passport number:
………………………………………………………………………………….
Date of birth:
………………………………………………………………………………………..
Place of birth:
………………………………………………………………………………………
Date of issue:
………………………………………………………………………………………
Date of expiry:
………………………………………………………………………………………
Place/country where you will apply for the visa: ……………………………………………………….
IMPORTANT: Please enclose a copy of your passport.

 Please send me an invitation letter for the visa application.

 No invitation letter required.
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RELEVANCE OF PARTICIPATION
Summarise your duties as they relate to the subject of the course. Please note that the application will not be
processed without adequate description of current duties. IMPORTANT: Please read the course description and
qualifications to ensure that you are qualified for the course that you are applying. Please confine your description to
this space.
PRIOR TRAINING EXPERIENCE
Summarise your prior training experience as they relate to the subject of the course.
LANGUAGE SKILLS
English language skills
 poor
 modest
Interpretation required
 yes
 no
 satisfactory
 good
 excellent
TRAVEL INFORMATION
The ReSPA Secretariat is most pleased to arrange your travel. In order to make all logistical arrangements in a
smooth and efficient way, we would very much appreciate it if you could indicate your method of transport and your
preferred travel schedule, which will be taken into account when reserving your travel. IMPORTANT: After having
reserved your flight, no changes are permitted.
 Travel by plane
Preferred flight schedule:
……………………...
Date of departure:
………………………
Time of departure: ……………………...
Time of departure:
………………………
Flight number: :
………………………
Date of arrival:
Flight number:
……………………..
 Travel by car
Date of arrival:
……………………...
Date of departure:
……………………...
Travel by car is allowed for distances of maximum 500 KM one way, so max. 1,000 KM return. The ReSPA Secretariat
will reimburse € 0.37 per KM. This rate includes possible taxes, parking costs, ECO taxes, toll costs and the costs for
the International Motor Insurance card. The number of KM will be based on the number of KM calculated on
www.map24.com. Bearing in mind the maximum number of KMs, the maximum amount for the car allowance is
EUR 370.
SPECIAL DIET REQUESTS
During the training meals will be served.
Please indicate any your special diet requests, if any.
 vegetarian
If yes, fish allowed
 yes
 no
 halal
 other ……………………………………………………………………………………………………….
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