Insight Dubai Conference
27th – 31st March, 2011
Please complete the following details and send it back to Haya Al Mutlaq on
E-mail: email@example.com Fax: +9714-2673939
Applicant’s Name: Nazpari Sotoudeh
Date of Birth: June 19th, 1992
1 CHAPIN WAY BOX NO 8143 SMITH COLLEGE
NORTHAMPTON, MASSACHUSETTS 01063-6302
1 CHAPIN WAY BOX NO 8143 SMITH
City/State/Prov/Zip Code: NORTHAMPTON, MASSACHUSETTS 01063-6302
NORTHAMPTON, MASSACHUSETTS 01063-
Country of Residence: USA 6302
Country of Origin: Iran Phone: 203-451-6309
E-mail Address: firstname.lastname@example.org
Write briefly about your Educational Background:
I am a dual citizen of Iran and Dubai. I went to public school in the USA until I
was 8, then attended primary and secondary schools in Dubai. I also attended
Tehran International School in Iran for 6 months. In 2005, I began a
homeschooling program, and in 2008 I transferred to the Hotchkiss School in the
USA where I graduated from in 2010. I am now a first-year student at Smith
Explain why you decided to participate at the Insight Dubai Conference?
As a Middle Eastern citizen and a member of a women’s college, I am highly
affected by gender and global issues. When I learned about this conference, I
became immediately interested in its motives and felt that I could make a good
contribution to it with my interests and experiences.
Have you participated in conferences before? Please specify.
What do you hope to achieve by attending this conference?
By participating in the conference, I hope I can gain leadership skills and learn
how to make a change in the world. The conference will give me an opportunity to
participate and facilitate dialogue with others and to meet inspiring and intelligent
women from around the world. I hope that I can learn from others and that others
can learn from me.
Can you specify the source of your sponsorship e.g. personal, university, college,
educational institute or humanitarian organization?
Where have you heard of the conference?
I learned about the conference from the
Do you have any health problems that need special attention or requirements?
Name & Contact of a person in case of an emergency
425 East 58th st. Apt 4E
New York, NY 10022
Details of applicant’s Educational Institute
Name of Educational Institute: Smith College
Address: Northampton, Massachusetts 01063
Name of the Coordinating Staff:
Direct Telephone Number: 413-584-2700
Details of Conference Fees
There will be registration fee of US$850 which includes:
6 nights accommodation
Visa if required
Special Events and field trips
The students can do the payment through a Bank transfer to the following address and
once it’s sent please scan and e-mail the transfer document.
Account # 1012022866101
Account name: Dubai Women’s College- Associated Students Fund
UAE Swift Code: EBILAEAD
Rashidiya Branch, Dubai, UAE
P O Box 777, Dubai, UAE
Tel: +9714 2222111
Fax: +9714 2216655
Transportation and Hotel Services
Transfers from the airport will be provided by the college.
All meals and social activities will be covered by the conference fee that you will
pay earlier. Students will not require extra cash, just personal pocket money.
Participants of Insight Dubai will stay in an Apartment Hotel which is located just
5 minutes from Dubai Women's College and 15 minutes from the airport. You
will be rooming with girls from other countries determined by the organizing
committee for a truly multicultural experience. If you need to stay for extra nights
you will need to pay it on your own and you must inform the Conference
Manager to do the reservation.
All Participants will require Entry Visa before traveling to Dubai, except travelers with
passports from the following countries listed below DO NOT REQUIRE VISAS TO
ENTER DUBAI, Entry visa will be issued at Dubai Airport.
Austria Hong Kong New Zealand
Andorra Iceland Portugal
Australia Italy Switzerland
Belgium Ireland Sweden
Brunei Japan Spain
Cyprus Liechtenstein San Marino
Canada Luxembourg Singapore
Denmark Malta US
France Monaco UK
Finland Malaysia Vatican
Requirements for applying to get the entry Visa are as follows:
1. Clear passport copy with a validity of not less than 6 months.
2. Clear personal picture.
3. Both parents first name
4. Father’s Profession
5. Address in home country
1) Entry permits are valid for 60 days from the date of issue.
2) Travelers with Middle East passports (NOT GCC) and travelers with European
Passports having Muslim names will go through a security check to issue their
Entry Visa. Therefore, please request all concerned participants to forward their
information in advance to process the paper work – (Security process takes
minimum 7 working days).
3) Special permission is required for Nigeria, Niger and Bangladesh passports
4) Travelers on Pakistan Airways or Air Blue must send their Flight Itinerary to us to
obtain (OK to Board) stamp from the airline in Dubai or you will not be allowed
to board to the aircraft.