Speaker registration - Workshop on structural racism & 6th Napar Subgroup meeting

User credentials

Please note that only one email address per participant can be registered in the system as it will be set to accept only 1 email address

E-mail *

Your e-mail will be the login of your account

Verify Email Address *

Re-enter your email address to confirm it

Password *

Minimum of 8 characters, with uppercase, lower, numeric and special ones.

Confirm your password *

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Information

Please note that the following information will appears on your badge for the meeting and on a list of participants:

Title
First / Last name
Organisation name

Please fill it out those information as you would like it to appear in print

First name *

Last name *

City

Country *

Time Zone *

V pass access :

Nationality ISO code *

Nationality full name *

Date of birth *

Document type * ID Passport

Passport / ID Number *

Document expiry date *

Organisation company *

Mobile number *

Organisation Information

Organisation type *

Organisation name *

Job position *

On which day are you attending the meeting ? * 24 January 25 January Closed meeting only for members of the Permanent Anti-Racism CSO Forum Both

How are you attending the meeting ? *

Do you need Travel & Accommodations arrangements? *

Travel details

Arrival

ARRIVAL

Departure City *

Departure date *

return

RETURN

Return City *

Return date *

Additional comments about travelling preferences

Would you like to attend the dinner on 24th of January? * Yes No

Dietary requirements

Dietary requirements *

Please specify

Impairment

Do you have any impairment (reduced mobility, visual or hearing impairment…)? * Yes No

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