ITI Centre and Members Registration Form
Personal Information
Your personal information will only be used for the Grand ITI 70th Anniversary Celebration registration
FAMILY NAME (in CAPITAL LETTERS) *
Your answer
First (given) Name(s): *
Your answer
Name of the Centre/Cooperating Member: *
Your answer
Position within the ITI Centre/Cooperating Member: *
Your answer
Phone (Including the country code): *
Your answer
Email: *
Your answer
City *
Your answer
Country: *
Your answer
ZIP Code *
Your answer
Passport Number of the person applying *
Your answer
General Information
FYI: ITI can provide hotel and food from 22 (arrival) to 27 (departure)
Intended arrival time: *
MM
/
DD
/
YYYY
Intended Departure Time: *
MM
/
DD
/
YYYY
Please list any special requests you have regarding diet, transport or accomodation:
Your answer
Invitation Letter
Please tick the box that apply
*
Passport Copy and portrait
In order to facilitate the communication during the celebration, we may create badges for all the participants, so this is necessary for us to have a portrait of you.
*
Required
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