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UNESCAP/ CDPF Regional Workshop on Promotion of Barrier-free Tourism |
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Participant FormPlease printout, and type or print |
| In order to enable UNESCAP to facilitate administrative arrangement on your behalf, kindly complete and return this form as soon as possible to fax: (66-2) 288-1030 E-mail: escap-esid-psis @ un.org or akiyama @ un.org | |
| 1. Given name: | |
| 2. Family Name: (block letters) | |
| 3. Sex: | ___ Male ___ Female |
| 4. Official Designation: | |
| 5. Contact Address: |
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| Telephone: | |
| Fax: | |
| Email: | |
| 6. Passport Details: | Nationality: |
| Date of birth: | |
| Place of birth: | |
| Passport No.: | |
| Date and place of issue: | |
| Date of Expiry: | |
| 7. Type of disability you would like to let us know | |
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Title and signature of the designating official Date |
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