Travel and Emergency Contact Form
If you are unable to complete this form online, you may download a word version at https://www.i-i-p-e.org/iipe2019/participants/travel/ and return it to info@i-i-p-e.org.
Email address *
CONTACT INFORMATION
Your contact information as you wish it to appear on the PARTICIPANT LIST.
First Name *
given name
Your answer
Last Name *
family name
Your answer
Organization / Affiliation
optional
Your answer
Country *
of origin or nationality - you may list more than one
Your answer
NAME TAG
Please provide your name and affiliation as you would like it to appear on your NAME TAG.
Name *
what you would like others to call you - may be formal or informal.
Your answer
Organization / Affiliation
optional - but try to keep it reasonably short as it must fit on a name tag!
Your answer
HEALTH & DIET
Please indicate your dietary preference. *
Please note any food allergies or other dietary restrictions you might have:
Your answer
Health, Diet or Mobility Conditions
Please indicate any health, diet, or mobility conditions/concerns the organizers should be aware of (please be sure to bring a full supply of any prescription medication(s))
Your answer
TRAVEL INFORMATION
Please provide your flight or other transportation details so we can track your anticipated arrival to Nicosia and arrange shuttles to and from the airport on July 21 & 28. Shuttles will be provided only for those arriving to Larnaca airport on July 21. Return shuttles will also be arranged on July 28. If you are arriving early or entering at Paphos airport you will need to arrange your own transportation. Please see the participant info page for suggestions (www.i-i-p-e.org/iipe2019/participants/). We will send directions to the hotel soon for those making their own arrangements.
Arrival Information *
please choose one
Arrival Flight Details
This information will be used to track your arrival & arrange airport shuttles on July 21.
Airline
name of airline
Your answer
Flight number
Your answer
Plane is coming from:
(*If you will be changing planes on your trip, please provide details of the final flight that arrives to your destination)
Your answer
Arriving to what airport?
(We are only arranging shuttles from Larnaca – arrival info is also used for tracking)
Date & Time of Arrival
MM
/
DD
/
YYYY
Time
:
Departing Flight Details
(Flight information is only necessary if you are departing from Larnaca on July 28 and will need a shuttle to the airport)
I require an airport shuttle back to the airport on July 28. *
Airline
airline name
Your answer
Flight number
Your answer
Departing to:
Your answer
Departing from which airport?
Departure Date & Time
MM
/
DD
/
YYYY
Time
:
PASSPORT DETAILS
We will be frequently crossing the checkpoint in Cyprus and you will need to carry your passport with you at all times. To expedite crossing, we will share passport details with the UN Civil Affairs in Cyprus. Please provide your passport details.

ALL PARTICIPANTS SHOULD PROVIDE THIS INFORMATION - EVEN LOCALS.

Your full name, exactly as it appears on your passport. *
Your answer
Country of Issue *
The country where your passport was issued.
Your answer
Passport Number *
Your answer
Date of Issue *
MM
/
DD
/
YYYY
Date of Expiration *
MM
/
DD
/
YYYY
ACCOMMODATIONS
Accommodations at the IIPE are double occupancy. Please inform the organizers if you have a preferred rooming partner.

(*A very limited number of single rooms may be available for those with special needs – please email info@i-i-p-e.org with requests).

rooming partner or rooming preference
Please indicate if you have a preferred roommate or other rooming preference.
Your answer
EMERGENCY CONTACT INFORMATION
Please provide contact information of a person to notify in the event of an emergency.
Name *
Your answer
Relationship *
(mother, husband, wife, child, etc)
Your answer
Phone number *
Your answer
Email address: *
Your answer
BIOGRAPHY
*If you have already submitted your bio with the program worksheet there is no need to provide it again.
BIO
Please provide us with a short biography to be included in the program. (Please no more than 75-100 words – the form field below will automatically limit length. Please briefly describe your background and the work you do. Please do not copy and paste your CV into this form.)
Your answer
A copy of your responses will be emailed to the address you provided.
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