IUSY Student Working Group
Dates: 2-5 May, 2019
Place: Brussels, Belgium
Deadline for registration: 10 April
All the data we are collecting at our registration forms are only going to be used to assist your participation in the activity. Data we are collecting at our registration forms will be deleted after one year. I agree with this terms: *
Family Name (as in passport) *
Your answer
First Name (as in passport) *
Your answer
Current nationality *
Your answer
Country of Residence *
Your answer
Gender *
Date of Birth *
Your answer
Place of Birth *
Your answer
Organisation *
Your answer
Role in the organisation *
Your answer
Telephone *
Your answer
E-mail *
Your answer
Emergency contact (Email+telephone) *
Your answer
Do you need VISA? *
Place to appeal for visa in your country:
Your answer
Passport Number
Your answer
Date of issue
MM
/
DD
/
YYYY
Valid until
MM
/
DD
/
YYYY
Issued by
Your answer
Meal preferences *
If you chose "Other" in meal preferences or you have allergies, please specify:
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Special needs
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What is your motivation for joining the meeting? *
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What can you contribute to the meeting? *
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How do you think the building of a knowledge society is linked to political participation? *
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