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AUTHORITY, LEADERSHIP AND PARTNERSHIP in an Era of Rapid Change and Mass Migration
REGISTRATION FORM
First Name
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Last Name
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Title
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Gender
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Nationality/ies
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Age
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Mobile Phone
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Email
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Home Address
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Place of Work (Name of Organization)
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Occupation / Job Title
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Main Roles and Responsibilities at Work
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How did you hear about the conference?
If other - please describe
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Previous Group Relations Experience
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Please fill in details of past conferences:
year, title of conference, duration, sponsoring organizations
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Topics you would like to work on in the conference
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I would like a single room / shared occupancy
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Name of Roomate - If no name is given the conference administration will assign one if available
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Requests / Remarks
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Thanks for filling out the registration form. To complete your registration and for payment (credit card, check or bank transfer) you will be contacted by one of the Conference Administrators. Information to be circulated to conference participants: First and Last Name, Title, Place of Work, Occupation/Job Title.
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