Conference Registration Form printable pdf download

Conference Registration Form

CONVENTION ON PROHIBITIONS OR RESTRICTIONS ON THE

USE OF CERTAIN CONVENTIONAL WEAPONS WHICH MAY

BE DEEMED TO BE EXCESSIVELY INJURIOUS OR TO HAVE

INDISCRIMINATE EFFECTS (CCW)

Conference Registration Form

Please return this form to the CCW Secretariat by fax at (+41 22) 917 00 34

Title of the Conference:

Date:

Delegation/Participant of Country, Organization or Agency:

Participant:

Family Name:

First Name:

Mrs.

Mr.

Ms.

Participation Category:

Are you based in Geneva

Head of Delegation

Observer Organization

as a representative of

your Permanent Mission?

Delegation

NGO

YES

Observer Country

Other (please specify below)

Participating from:

Participating until:

Official Occupation (in own country):

Passport or ID Number:

Valid until:

Official Telephone No.:

Fax No.:

E-mail Address:

Permanent Official Address:

Address in Geneva:

Accompanied by Spouse:

YES

Family Name (Spouse):

First Name (Spouse):

On Issue of ID Card

SECURITY USE ONLY

Participant Signature:

Card No. Issued:

Spouse Signature:

Initials, UN Official:

Date:

Conference Registration Form

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