Fifteenth Meeting of the GREPECAS Scrutiny Working Group (GTE/15) Lima, Peru, 16 20 November 2015 – REGISTRATION FORM Delegate Delegate Position in your Delegation: 1. Adviser Observer (Please select one option) Speaker Moderator 2. Country / Organization 3. Salutation Mr. Mrs. Miss 4. Name 5. Official Position or Title 6. Official Telephone 7. Mobile (to contact you in case of an emergency) 8. Official E-mail and address where you will be staying during the 9. event 10. Please indicate if accompanied by your family Yes # 11. Dates of total stay in the venue Country Please indicate if you have any medical condition or 12. allergies Name Emergency contact information in your country of 13. Relationship origin Telephone Please send this form to: E-mail:
Fifteenth Meeting of the GREPECAS Scrutiny Working Group (GTE/15) Lima, Peru, 16 – 20 November 2015 REGISTRATION FORM 1. Position in your Delegation: (Please select one option) Delegate Delegate Adviser Observer Speaker Moderator 2. Country / Organization 3. Salutation Mr. Mrs. Miss 4. Name 5. Official Position or Title 6. Official Telephone 7. Mobile (to contact you in case of an emergency) 8. Official E-mail 9. and address where you will be staying during the event 10. Please indicate if accompanied by your family Yes # 11. Dates of total stay in the venue Country 12. Please indicate if you have any medical condition or allergies 13. Emergency contact information in your country of origin Name Relationship Telephone Please send this form to: E-mail:
EMX0842ATM-States-GTE15InvitationATTb.docx