Socialudvalget 2012-13
SOU Alm.del Bilag 192
Offentligt
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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]