Please type or print in ink.
Please complete and send preferably by email or fax to:
Ms. Thelma Lampano
ILO Subregional Office for South-East Asia and the Pacific
Tel: +63 (2) 894 3601
Fax: +63 (2) 812 6143
Email: lampano@ilo.org
In order to process the necessary
travel arrangements and hotel bookings, nomination forms
are required on or before 17 September 2003.
Personal Information
of Nominees
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Family name:
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Passport No:
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First name:
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Date of issue:
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Sex:
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Expiry date:
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Date of birth:
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Place of issue:
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Address through which notification about travel
arrangement
should be transmitted
Person to notify in case of emergency
Organization Information
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Name of organization
that the delegate is representing
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Hotel
Arrangements
Please book me into a choose
only one:
Single room
o or
Twin
Share room: o…
If share twin I will be sharing a room with: (Name)
______________________________________________________
Special
requirements
Please indicate if you have
any special dietary or health requirements/concerns:
To be completed by nominating organization:
I
certify that the above nominee has been nominated for the Forum. She/he
is
proficient in English and accepts the conditions governing the Forum.
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Signature:
(To be signed by the person making
the nomination)
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Name:
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Designation:
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Nominating organization:
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Address:
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Date:
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