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EPDET 2018 APPLICATION FORM
Please fill out this Application Form as soon as possible (until 31 March 2018 at the latest) to reserve a place at the 2018 Development Evaluation Training taking place in Prague, Czech Republic on 16 - 21 September 2018.
Name of participant (Your full name as it should appear on correspondence) *
Your answer
Name of organization (If you are representing an organization, please provide its name) *
Your answer
Official contact address *
Your answer
E-mail address (please check, as this is our main mean of contacting you) *
Your answer
Contact telephone (including country code) *
Your answer
Country of residence *
Your answer
Country of origin (if different from Country of residence above) *
Your answer
Your gender
Type of your working affiliation *
Required
How did you get information about EPDET? *
Required
Participant fee
The registration fee is 1840 EUR (equivalent of 46 000 CZK or 2230 USD). The fee includes five days accommodation in single rooms including breakfast, full board, coffee breaks, and all tuition expenses including training materials. International travel, taxi, visa costs and insurance are not included in the registration fee. The registration fee is not subject to VAT imposition.
For the participants having their own accommodation in Prague, the registration fee will be reduced to 1450 EUR (equivalent of 36 300 CZK or 1760 USD).
Early bird 15% discount is provided for the fee paid until 31 May 2018:
1600 EUR (equivalent of 40 000 CZK or 1940 USD) with accommodation;
Or 1210 EUR (equivalent of 30 300 CZK or 1470 USD) without accommodation.
The payment instructions will be sent to all registered applicants during April 2018.
After 15 July 2018, no refunds will be provided in case of participant cancellation; at the discretion of the management, substitutions may be possible. In such cases, contact the EPDET coordinator.
Please select one of the fee options below: *
In what currency will you pay your fee? (We need it for issuing the payment order) *
Please write the full name, address and e-mail of person/organization paying EPDET fee in case it differs from the contact details of the participant:
Your answer
Please write the Tax Identification number if applicable
Your answer
Other information
We will make an effort to meet any special dietary requirement.
Do you have any special dietary requirement? *
Required
Training is limited to 56 participants.
Questions or requests for additional information may be addressed directly to EPDET Coordinator Mr. Daniel Svoboda, by e-mail: svoboda@dww.cz, Mobile phone: +420 724 179 562, or Skype: svoboda.dww
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