First IPU Global Conference of Young Parliamentarians
Taking Democracy to Task
10-11 October 2014
Centre international de Conférences de Genève (CICG), Geneva (Switzerland)
Conference for young parliamentarians organized by the Inter-Parliamentary Union with the support of the Worldwide Support for
Democracy (WSD).
One form per participant
To be returned no later than 20 August 2014
Registration Form
Country
Ms.  Mr.  Mrs. 
First name
Surname
Age
Parliament (Chamber)/
Organization
Member of Parliament 
Function
Other  :
Full title
Office e-mail address
Personal e-mail address
Telephone:
E-mail:
Date:
Please return this form to:
Inter-Parliamentary Union
Chemin du Pommier 5, Case postale 330
1218 Le Grand-Saconnex
Geneva, Switzerland
Telephone: +41 22 919 41 50 / Fax: +41 22 919 41 60
Email: postbox@mail.ipu.org
Signature:
Senator 
Aide or staff 