REGISTRATION FORM / FORMULAIRE D'ENREGISTREMENT Please type your name and official position in your country or organization in English or French
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CONSEIL DE COORDINATION DU PROGRAMME
vingtième réunion25-27 juin 2007
Genève, Suisse
PROGRAMME COORDINATING BOARD
Twentieth Meeting
25-27 June 2007
Geneva, Switzerland
REGISTRATION FORM / FORMULAIRE D'ENREGISTREMENT
Please type your name and official position in your country or organization in English or French as they should appear in the list of
participants./Veuillez taper votre nom et vos fonctions officielles dans votre pays en anglais ou français en présentant ces indications telles
qu'elles doivent figurer dans la liste des participants.Family Name
Nom de famille
Mr, Ms,
M., Mme
First name
Prénom
Government/organization
Gouvernement/organisation
Official title
Fonction officielle
Official address
Adresse officielle
Official telephone N°
N° de téléphone officiel
Official facsimile N°
N° de facsimilé officiel
E-mail address
Adresse électronique
Address during the meeting
Adresse pendant la session
Attending in capacity of
Member /Membre: Observer/Observateur
Participant en qualité de
Arrival date and time
Date et heure d'arrivée
Departure date and time
Date et heure de départ
Language in which
documentation is requiredLangue dans laquelle doit être
fournie la documentationEnglish/Anglais: French/Français:
Date:Signature:
Please return the completed form to: External Relations and Governance, UNAIDS20 avenue Appia, 1211 Geneva 27, Switzerland. Fax: (+4122) 791 4188; E-mail: PCBRegistration@unaids.org
Veuillez compléter et renvoyer ce formulaire aux: Relations extérieures et gouvernance, ONUSIDA