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Registration Form - UNCTAD.xls

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					                   UNITED NATIONS OFFICE AT GENEVA

                                  Conference Registration Form
                          Please complete and submit before 27 May 2011
Please fax or e-mail this completed form with a copy of your PASSPORT to UNCTAD
                  e-mail: commodities@unctad.org / Fax: +41 22 917 05 09
                Please BRING THIS ORIGINAL FORM with you to Cotonou, Benin.

Title of the Conference

          PAN AFRICAN COTTON MEETING - COTONOU - BENIN- 27-29/06/2011
Delegation, Name of Organisation or Agency



Participant       Family Name (as on passport)                           First Name (as on passport)
   Mr.
   Mrs.
   Ms.

Title

Date Of Birth                           (DD/MM/YYYY)

Participation Category

Head of Ministerial Delegation                           Private Sector
Delegation Member                                        NGO
Regional Economic Community                              Other (Please specify below)




Document Language Preference
                  English               French
Origin of Identity Document          Passport or ID Number                                       Valid Until



Telephone No.                     Fax No.                                e-mail



Occupation


Full Address




On Issue of ID Card
Participant Signature                Date                                Security Use Only
                                                                         Card N°. Issued


                                                                         Initials, UN Official

				
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