DELEGATION MEMBER REGISTRATION FORM

Please submit one Registration Form for each member of your delegation (including Observers and Visitors).
The deadline for submission is 15 June 2002.

             Country : ________________________________
			 
             

             (please check one)
             Leader ___ Student ___ Observer ___ Visitor ___
            

             
             Family Name             : _________________________________
             
             Given Name              : _________________________________
             
             Title                   : Prof. / Dr. / Mr. / Ms.
             
             Sex                     : M / F
             
             Passport Number         : _________________________________
             
             Date of Birth (dd/mm/yy): _________________________________
             
             Mailing Address         : _________________________________
             
                                       _________________________________
             
             Telephone               : _________________________________
             
             Email                   : _________________________________ 
			 
            

             Special Diet Needs      : _________________________________
             
             
			 
             Special Medical Condition(s): _____________________________
             
             
			 
             T-shirt Size (please check one)
             
             Small ___ Medium ___ Large ___ Extra Large___
             
			
			
             Inbound Travel
             
             Airline Name and Flight Number : __________________________
             
             Date and Time of Arrival       : __________________________
             
			
			
             Outbound Travel
             
             Airline Name and Flight Number : __________________________
             
             Date and Time of Departure     : __________________________
             

          
             Room Sharing
             
             I would like to share a room with : ________________________

COUNTRY CONFIRMATION FORM

Please submit your country's confirmation of participation before 15 March 2002.

             Country : ________________________
             
             Number of Leaders        : __________________________
             
             Number of Students       : __________________________
             
             Number of Observers      : __________________________
             
             Number of Visitors       : __________________________ 
             
             
			 
             Name of Contact Person   : __________________________
             
             Address of Contact Person: __________________________
             
                                        __________________________
             
             Telephone Number         : __________________________
             
             Fax. Number              : __________________________
             
             Email Address            : __________________________ 
             
             
			 
             Fees to be paid to the Organizing Committee :
             
             Delegation                    US $ 3,500
             
             Observers (US $ 1,200 each)   US $
             
             Visitors (US $ 1,000 each)    US $
                                           _____________
             
                                     TOTAL US $