Socialudvalget 2012-13 SOU Alm.del Bilag 192 Offentligt
MEETING OF CHAIRPERSONS OF EMPLOYMENT, ENTERPRISE, INNOVATION &SOCIAL AFFAIRS COMMITTEESDUBLIN, IRELAND28 – 29APRIL 2013REGISTRATION FORMPlease complete one registration form IN CAPITAL LETTERS for each participant and send by e-mailto[email protected]later than 2APRIL 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 28April 2013:
Will attend lunch at 13.00 on 29 April 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/event49_28April13.htmlnolater than 2 APRIL 2013toensure availability of rooms at the agreed preferential rate.EU Co-ordinator: Máirín Devlin, Telephone (direct) 00353 1 618 3258, [email protected]