Sponsored participant registration

Soumis par sid.editor le lun, 12/14/2020 - 10:26

1 Start 2 Complete

Sponsored participants should not purchase their own ticket without prior approval by ECA.

Part A - General Data

SELECT MEETING *

Title *

FIRST NAME (AS IN GOVERNMENT ID) *

MIDDLE NAME (AS IN GOVERNMENT ID)

LAST NAME (AS IN GOVERNMENT ID) *

HAVE YOU WORKED WITH THE UN IN THE PAST? *

Yes

IF YES, PLEASE PROVIDE INDEX NUMBER

DATE OF BIRTH *

Mois

Jour

Année

PLACE OF BIRTH - COUNTRY *

PLACE OF BIRTH - CITY *

GENDER *

Male

Female

NATIONALITY ON PASSPORT *

EMAIL ADDRESS *

TELEPHONE NUMBER *

Current Residential Address *

ORGANIZATION *

FUNCTIONAL TITLE *

COUNTRY OF DEPARTURE *

CITY OF DEPARTURE *

PASSPORT COPY *

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PASSPORT NUMBER *

Part B – Banking Data (only for participants sponsored by ECA)

ACCOUNT *

CURRENCY OF PAYMENT *

NAME OF BANK *

ADDRESS OF BANK : COUNTRY *

ADDRESS OF BANK : CITY *

BANK ID NUMBER *

ACCOUNT # or IBAN *

CURRENCY OF ACCOUNT *

SWIFT CODE *

TYPE OF ACCOUNT *

Checking

Saving

ROUTING INSTRUCTION *

Part C – Certification by Non Staff/External Individual (only for participants sponsored by ECA)

By checking this box I certify that the above information is accurate *

Yes

FULL NAME *

INSTITUTION/AFFILIATION CATEGORY *

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