REGISTARTION FORM

REGISTARTION FORM

First Name: Last Name:

Sex: M F Position:

Organization:

City: Country:

Mailing Address:

Phone: Fax:

E-mail:

Category: (Please tick as appropriate)

Government NGO Bilateral

UN Agency Media Multilateral

Regional/Sub-regional Organisation International Organisation

Private Sector Other (Please specify)

Please provide a brief description of your organisation/activity, why you are interested in CSD II, and what would be your contribution to the CSD II meeting.

Date of arrival Date of Departure

Address in the host country (Hotel; Room No, Tel. Nos.)

I hereby indicate my desire to participate in the CSD II meeting to be held in Addis Ababa, 26-29 November 2001.

Date: Signature:

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