CBIT-GSP, FAO, GIR, PATPA NDC tracking Workshop

Registration Form

Name

Prefix

Given name

correct spelling, as mentioned in your official travel document

Family name

correct spelling, as mentioned in your official travel document

Contact

E-mail address

Confirm e-mail address

Mobile phone number

Please note that we will contact you on this number, in case your flight itinerary has been changed or for any unforeseen matters, so kindly add a number under which you are best reachable.

Personal data

Date of Birth

Nationality

Passport No.

Passport Copy / Scan

Needed for validation in the process of travel arrangements: Pages with your photo, date of birth, date of expiration. If you encounter issues with uploading a copy of your passport, please send it to us via africanregionalgroup@patpa.net.
One file only.
20 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip.

Date of expiration

Professional details

Institution / Organisation

Departement

Current position

Country that you are representing

Country that you are representing (if not applicable as you are a member of an international organization, please choose “no country affiliation”)

Travel itinerary

Departure country

Departure airport

Please state the exact airport name.

Any specific requirements for the flight an / or the flight connection

Dietary requirements

Select

Yes

If yes, please specify:

Data protection declaration

I have read the privacy policy and agree that my personal data will be stored and used by GIZ, co-organisers and co-financers in accordance with the above-described declaration. Important: Participation in the regional workshop is not possible without such consent.

I agree.

Acknowledgment of further data use.

I agree that my personal data (name, institution, position, e-mail address) will be kept by GIZ and the partners listed above for a further period of three years after the end of the purpose for which they were collected in order to facilitate contact for the organisation of follow-up events, even if no participation has taken place.

I agree.

I do not Agree.

Entry formalities

Acknowledgment of entry formalities

I hereby acknowledge that I have read and am acting in accordance with the entry formalities for the Republic of Korea and that I am responsible for applying for a visa if necessary.

Health regulations

Acknowledgment of health regulations

I hereby acknowledge that I have read and am acting in accordance with the regulation for persons entering the Republic of Korea to contain the spread of COVID-19 and that I am responsible for taking any necessary measures.

Registration - Confirmation

I bindingly register for the PATPA and CBIT-GSP Regional Workshop for Anglophone African Countries. I have taken note that the organizers reserve the right for a final decision regarding my participation.