Sustainable Livelihoods

 Jakarta, 15 to 17 January 2002

Interregional Consultative Expert Meeting
on disability-sensitive policy design and evaluation
for sustainable livelihoods for all in the twenty-first century

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Participant Registration Form
Family name  
First name(s)  
Home Address :- street, city
- phone / fax - e-mail		  
Agency or organization:
Address : - street, city
- phone / fax- e-mail		  
Official title  
Passport number  
Passport issue date  
Passport validity date  
Passport issued by  
Do / do not require assistant  

Health status:

To the best of my knowledge I certify that I am medically fit to travel to and from the Meeting venue at Jakarta and to participate in the Meeting proceedings.

Signed:

 

Place and Date:

Please print, fill out and return the signed form to :

Mr. Bo Asplund, Resident Representative, attn. Ms. Bonaria Siahaan
United Natiuons Development Programme (UNDP)
Jalan MH Thamrin 14, Jakarta
Phone No. (62 21) 314 1308, Fax No. (62 21) 314 5251
E-mail : bona.siahaan @ undp.org 

With copies to :

1. Dr. Pudjihastuti, Director General for Social Rehabilitation
Ministry of Social Affairs (DEPSOS RI), Jalan Salemba Raya 28, Jakarta 10430
Phone (62 21) 310 3612, Fax No. (62 21) 310 3613
E-mail : Pudji28 @ yahoo.com

2. Dr. Sudibyo Markus, Director
Institute for Social Development Studies (ISDS)
Jalan Menteng Raya 62, Jakarta
Phone No. (62 21) 391 1915, 391 1157. Fax No. (62 21) 391 1915
E-mail : markus_sudibyo @ rgmi.com

Copyright (c) 2002 WorldEnable
Last updated 11/02/03.