ADF III - Registration Form

Personal details:
To register, please fill in this on-line registration form. If you have any questions regarding your registration, your daily subsistence allowance (DSA) or travel or any other question related to your attendence to the ADF III, please contact:

United Nations Conference Centre
P.O. Box 3001
Addis Ababa
Ethiopia
Tel: (251-1) 514874, 514945
Fax: (251-1) 513155
cc. mail:uncc-aa
e-mail: uncc-aa@un.org

Title: First Name: Family Name:

Gender: M F Date of Birth:

Job Title:

Organization:

Department:

Address:

City: Post/Zip Code:

Country:

Telephone: Fax:

E-mail:

Dietary Requirements:

Special needs:

Religion: Language: English: French:

Category:

Head of Delegation: Yes No

Government NGO Bilateral Diaspora

UN Agency Media Multilateral

Regional/Subregional Organisation International Organisation

Private Sector Other (Please specify)

Sponsorship Category:

Invited/sponsored

Invited self sponsored

Interested participant/self sponsored

Please provide a brief description of your organisation/activity, why you are interested in ADF III, and what would be your contribution to the Forum, your experience, success and failure in regional integration, relevant factors of your interest, studies, practices, etc.: (optional)

Accompanying person details:

Title: First Name: Family Name:

Gender: M: F:

Dietary requirements:

Special needs:

Hotel Booking details:

Hotel rooms have been pre-booked with a number of hotels located in Addis Ababa. Please provide us with your basic requirements, as follows:

No. of rooms: Standard single: Standard double/twin: Executive single: Executive double/twin:
Arrival date: Departure date: No. of nights:

Please indicate whether you have any special requirements:

Planning your participation:

Would you like to participate in ADF III Exhibition? Y N

Conference Themes: It would help conference organisers if you would provide a preliminary indication of the theme that interests you the most:

Economic Integration

Institutional Architecture and Capacity

Peace, Security, Humanitarianism and Human Rights

All

NOTE: ECA can not provide funding for individual participation in ADF III. We would suggest that if you are associated with a donor-funded project please try to obtain funding directly from that donor.

I hereby indicate my desire to participate in the ADF III to be held in Addis Ababa, 3 - 8 March 2002. I understand that acceptance for participation may be subject to space availability and/or other considerations.

Date: Name:

	REGISTRATION FORM HOME WHAT'S NEW SITE MAP DISCUSSION LIST CONTACTS LINKS
Third African Development Forum - Defining Priorities for Regional Integration
About ADF III Documents Partners ADF 2000 ADF 1999		Home > About ADF III > Registration Form Download the Registration Form [PDF] [Word] Registration Form AFRICAN DEVELOPMENT FORUM 3 - 8 March 2002 PLEASE NOTE THAT THERE IS NO REGISTRATION FEE FOR ADF III. DEADLINE: 15 February 2002 Personal details: To register, please fill in this on-line registration form. If you have any questions regarding your registration, your daily subsistence allowance (DSA) or travel or any other question related to your attendence to the ADF III, please contact: United Nations Conference Centre P.O. Box 3001 Addis Ababa Ethiopia Tel: (251-1) 514874, 514945 Fax: (251-1) 513155 cc. mail:uncc-aa e-mail: uncc-aa@un.org Title: First Name: Family Name: Gender: M F Date of Birth: Job Title: Organization: Department: Address: City: Post/Zip Code: Country: Telephone: Fax: E-mail: Dietary Requirements: Special needs: Religion: Language: English: French: Category: Head of Delegation: Yes No Government NGO Bilateral Diaspora UN Agency Media Multilateral Regional/Subregional Organisation International Organisation Private Sector Other (Please specify) Sponsorship Category: Invited/sponsored Invited self sponsored Interested participant/self sponsored Please provide a brief description of your organisation/activity, why you are interested in ADF III, and what would be your contribution to the Forum, your experience, success and failure in regional integration, relevant factors of your interest, studies, practices, etc.: (optional) Accompanying person details: Title: First Name: Family Name: Gender: M: F: Dietary requirements: Special needs: Hotel Booking details: Hotel rooms have been pre-booked with a number of hotels located in Addis Ababa. Please provide us with your basic requirements, as follows: No. of rooms: Standard single: Standard double/twin: Executive single: Executive double/twin: Arrival date: Departure date: No. of nights: Please indicate whether you have any special requirements: Planning your participation: Would you like to participate in ADF III Exhibition? Y N Conference Themes: It would help conference organisers if you would provide a preliminary indication of the theme that interests you the most: Economic Integration Institutional Architecture and Capacity Peace, Security, Humanitarianism and Human Rights All NOTE: ECA can not provide funding for individual participation in ADF III. We would suggest that if you are associated with a donor-funded project please try to obtain funding directly from that donor. I hereby indicate my desire to participate in the ADF III to be held in Addis Ababa, 3 - 8 March 2002. I understand that acceptance for participation may be subject to space availability and/or other considerations. Date: Name:
3 - 8 March 2002, Addis Ababa, Ethiopia
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