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Participant
Information
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Full Name Exactly as it appears on
your passport
(English Version) |
Last
Name |
First
Name |
Middle
Name |
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Gender and
Citizenship |
Gender |
Citizenship |
Representing
Country |
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Passport
Information |
Passport
Number |
Expiration |
Country
of Issue |
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Visa
Information |
If you
require a visa for entry to Jordan , please obtain
the
necessary forms
and information at the below website.
Please
confirm that you have received your visa.
http://www.mfa.gov.jo/pages.php?menu_id=85
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Current
Employer |
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Title or
Position |
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Field of
Expertise |
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Complete
Address |
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City / State /
Region |
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Country and Postal
Code |
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Business
Telephone |
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Business
Fax |
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Mobile
Phone |
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E-Mail
Address |
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Required
Attachments
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+
Curriculum
Vitae + Personal Photo + Copy of
Passport
Please
immediately send the above documents to daad@cmc-amman.gov.jo
The
personal photo will be used for your Conference
Badge
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Flight
Itinerary and Logistics Information
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From your
Destination to Amman
, please list |
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Departure City |
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Airlines and Flight
Number |
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Date of Arrival and Time of
Arrival |
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From Amman to your
Destination, please list |
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Arrival City |
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Date of Departure and Time of
Departure |
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Logistics
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Do you have any special requests
for hotel lodging? If yes, please describe. |
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Please list any dietary
restrictions or special needs. |
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Please write your name as you wish
it to appear on your Name Tag.
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Workshop
Participation
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Are you: Click on Box to Insert a Check Mark
Co-chairman
Head of
Delegation
Participant
Observer
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Are
you the designated presenter for your Delegation who will
be giving
the presentation for your Working Group?
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Yes
No |
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What type of media will you be
using for your presentation? |
Vu-graphs
PowerPoint
Other:
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Which working group you are part
of? Click on Box to Insert a Check
Mark
Border Security
Chemical, Biological,
Radiological and Nuclear Events (CBRN)
Regional Center of Excellence
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Comments
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Please list your comments below if
any:
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Contact
Information
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Head of
Training Ms. Da'ad Shuwayhat
E-mail address
daad@cmc-amman.gov.jo
Telephone
+962-6-534 1129
+962-6-534 4701 extension 2320
Fax
+962-6-534 6186
Mobile +962-79-569 5987
Thank
you and we look forward to be your host in
Amman
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Click Here to
submit Registration Form
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