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Home › APT Meetings › On-line Registration Form

Attendance Form

Meeting

Meeting Name: *

12th APT Policy and Regulatory Forum

APT HRD Experts Meeeting

4th Meeting of the Ad-Hoc Correspondence Group

APT 3rd Workshop on Disaster Management/ Communications

5th Policy and Regulation Forum for Pacific

20th APT Standardization Program Forum

4th APT Preparatory Meeting for WTSA-12

4th APT Preparatory Meeting for WCIT-12

Personal Information

Title: *

Dr

Mr

Miss

Mrs

First Name: *

Last Name: *

Administration/Organization: *

Present Post (Title): *

Business Address: *

Country: *

Phone No.: *

Fax No.:

E-mail address: *

Are you representing your Country's Administration?: *

Yes

No

If Yes what is your position in delegation?:

Head of Delegation (HoD)

Alternate Hod

Delegate

Membership Status (Please tick which is appropriate for your membership status)

Membership Status: *

Member

Associate Member

Affiliate Member

International Organization

Others

Passport Information for Visa: (Provide only if you need visa supporting letter)

Passport No.:

Passport Issue Date:

Passport Expiry Date:

Place of Issue:

Date of Birth:

Place of Birth:

Place of Getting Visa:

Flight Information

Arrival Flight (Flight No./ Date/ Time):

Departure Flight (Flight No./ Date/ Time):

Hotel Accomodation

Please make a reservation: *

Yes

No

Hotel Name/ Room Type:

Hotel Check-In Date:

Hotel Check-Out Date:

Payment Method:

APT Fellowship

Cash

Credit Card

For Twin booking, I will share with:

Any other information:

Last updated on 17/05/2012

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