Registration Form
Catholic HIV/AIDS Network (CHAN) Affiliated Event in Conjunction with the 2018 International AIDS Conference

20-22 July 2018 - Friday afternoon through Sunday, including a joint session with WCC-EAA on Sunday

Schuilkerk de Hoop - Hartveldseweg 23 te Diemen - Amsterdam, The Netherlands

Important Information
Regrettably, we are not able to offer funding for travel and/or accommodations. We will, however, be able to provide meals and tea/coffee breaks during the conference, free of charge. Those who wish to register for the International AIDS Conference 2018 need to make their separate arrangements for this event, at their expenses: http://www.aids2018.org/Registration/Registration/Conference-registration

Please complete this form and send a scanned copy of the personal and other key information in your passport, to: Mr Stefano Nobile snobile@caritas-internationalis.com by Thursday 5 July 2018.

Complete name of delegate as on passport *
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Complete surname of delegate as on passport *
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Title (Mr, Fr, Bishop, Mrs, Ms, Sr, …) *
Your answer
Organisation *
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Position
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Postal Address
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Office phone number (please include country code) *
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Mobile phone number (please include country code) *
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Home phone number (please include country code)
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Fax number (please include country code)
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Email address *
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City of departure *
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Expected date of arrival in Amsterdam, The Netherlands *
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Expected date of departure from Amsterdam, The Netherlands (EU country) *
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Please indicate your accommodation
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Do you need a letter to request a visa to enter The Netherlands? NOTE: to those who plan to attend the International AIDS Conference, VISAs will be provided by the organizers *
Required
If yes, please indicate contact details of the nearest Consulate of The Netherlands (Postal Address, eMail Address, Fax Number)
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Any special dietary needs?
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