III ASIA-EUROPE FORUM ON EDUCATION
EDITION DEDICATED TO THE 70TH ANNIVERSARY OF UNESCO
07-11 OCTOBER IN BUCHAREST, رومانيا
Arrival Day on 07/10/2015- Departure Day on 11/10/2015
ENROLMENT FORM
Please fill in the form and send it along with a scan of your passport information page[1] via e-mail to the Office of President at office@efuca-unesco.org. All necessary documentation must be sent by أغسطس 15, 2015, 11.59 PM (Romania time. Romania is GMT 2)
You should fill in this electronic form and keep a copy for you. If you are unable to complete the form on your computer, please print it then complete it using a black pen and capital letters.
PERSONAL INFORMATION
Mark with an X the manner in which you wish to participate in the III Asia-Europe Forum on Education.
- Delegate[2]
- Observer
Title: Ms/Mrs/Mr/Dr/Prof (leave in only the relevant title or circle it)
Family name:__________________________________________
First names:___________________________________________
Address:_____________________________________________
City:________________________________________________
Postcode:____________________________________________
Country:_____________________________________________
Tel.: (___)__________________Fax: (____)____________ Email:__________________________
Institution name:_______________________________________
Paper title (if applicable)__________________________________
Passport Number[3]:
Expiry Date: _______(Date)______(Month)_____(Year)
Citizenship: ________________
Date of birth: _______(Date)______(Month)______(Year)
TRAVEL ARRANGEMENTS
Please specify how you plan to arrive in Bucharest:
If you are unable to purchase your ticket by August 15 (the deadline for this form), you may complete and send us the below chart regarding your travel arrangements, in a separate email, من قبل September 7, 2015, 11:59 PM (Romania time) at office@efuca-unesco.org
Flight or train information:
Arrival information:
Day/month/year……… Time (am/pm)……………… Departure airport/ station ………………
Airliner/carrier/train company…………………………….. Flight Number/Train Number ………………………
______________________________________________________________________________________________________
Departure information
Day/month/year ………. Time (am/pm) …………… Destination airport/station……………….
Airliner/carrier/train company…………………………….. Flight Number/Train Number ………………………
______________________________________________________________________________________________________
[1] For European Union members, you can send a scan of your national ID card
[2] For information regarding delegate and observer status please see the General Information document
[3] For European Union Members, you can provide a personal ID number. If this is the case please replace passport with ID. If you have printed the document, cross out passport with a line.
