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December 2024

Vyhlásenie o prístupnosti

Registration form

Personal Information:

Last name:

First name:

Date of birth:

Rank/Title (without abbreviation)		Position Title (without abbreviation)

Land Forces

Marine

Air Forces

civil sector

other

Nation represented:	Passport number/identity card:

Personal contact details:

e-mail 1:		e-mail 2:

Phone:

Cellphone:

Fax:

Address:

Accompanying person:

yes

Last name:

First name:

Date of birth:

Passport number/identity card:

Organizer does not provide program for accompanying person.

Accompanying child/children:

yes

Last name:

First name:

Date of birth:

Passport number/identity card:

Organizer does not provide program for accompanying person.

Accommodation:

Each participant is responsible for their accommodation.
NTG CBRN 2011 meeting will be held in Hotel Baronka Bratislava.
Accommodation is available at any hotels in Bratislava, but participants are encouraged to stay in hotel Baronka.

I will stay in Hotel Baronka:

yes

I will stay in other hotel in Bratislava:

yes

Name of the hotel:

Arrival on:		Departure on:

Participation:

Iwill participate in next Work Group:	Land Marine Air Medicine
I participate for the last time at the NTG Plenary Conference:	no yes
I will participate for the first time at the NTG Plenary Conference:	no yes

Notice:

Emergency Contact Details:

Last Name, First Name:
Address:
Phone:
Cellphone:
Fax:
e-mail:

Please fill in this registration form no later than 1.4.2011. Your data will be automatically sent to Organizational Committee of NTG CBRN 2011. You will receive two emails. First one will inform you that your registration form was successfully sent to Organizational Committee, second one will be the official confirmation sent by Organizational Committee within 3 working days. If you do not receive both emails, please contact us: cbrn@mil.sk.

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