Udvalget for Fødevarer, Landbrug og Fiskeri 2012-13 FLF Alm.del Bilag 137 Offentligt
MEETING OF CHAIRPERSONS OF AGRICULTURE AND FISHERIES COMMITTEESDUBLIN, IRELAND10-11 MARCH 2013REGISTRATION FORMPlease complete one registration form IN CAPITAL LETTERS for each participant andsend by e-mail to[email protected]no later than 12 FEBRUARY 2013.
First Name:
Last Name:
Gender:
Parliament/Chamber:
Position/Role:
Country:
Address:
Telephone:
E-mail:
Male
Female
Dietary restrictions/allergies/other important requirements:
Will attend dinner at 20.00 on 10 March 2013:
Will attend lunch at 13.00 on 11 March 2013:
Arrival date:
Departure Date:
YES
YES
Flight No. (If available)
Flight No. (If available)
NO
NO
For Security and Accreditation purposes, you are also required to provide the followinginformation:
Date of birth:
Passport Number:
Date of issue:
Nationality:
Place of issue:
Expiration Date:
PLEASE NOTE: Hotel bookings should be made directly with the hotel online athttp://cms.ihfhousingbureau.com/ENG/event23_10Mar13.htmlnolaterthan12FEBRUARY 2013 to ensure availability of rooms at the agreed preferential rate.
