ENVIRONMENT, INCLUDING SOCIO-ECONOMIC ASPECTS Brussels, Belgium, 27-29 June 2012 Egmont Palace First name: Last name: Nationality: Passport
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ENVIRONMENT, INCLUDING SOCIO-ECONOMIC ASPECTS Brussels, Belgium, 27-29 June 2012 Egmont Palace First name: Last name: Nationality: Passport
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REGISTRATION FORM
WORKSHOP, UNDER THE AUSPICES OF THE UNITED NATIONS, IN SUPPORT OF THE REGULAR PROCESS FOR GLOBAL REPORTING AND ASSESSMENT OF THE STATE OF THE MARINEENVIRONMENT, INCLUDING SOCIO-ECONOMIC ASPECTS
Brussels, Belgium, 27-29 June 2012
Egmont Palace
First name: Last name:Nationality:
Passport Number:
Passport issued by: (Country) □ Participant □ Observer □ Special GuestOfficial Position:
Organization/Institution:
Address:
City:Country:
Telephone:
E-Mail:
Apply for visa (if needed) in:
(Country)Date of arrival:
Flight No.:
Date of departure:
Flight No.:
Hotel:
Please send this registration form no later than 8 June 2012 to:doalos@un.org, with a copy to Marco Boccia at boccia@un.org (or by fax at +1-212-963-5847), as well as to