“Peaceful Puzzle of Ukraine”

Training course

“Peaceful Puzzle of Ukraine”

Lviv, Western Ukraine, 10 – 20 September 2015

PARTICIPANT FORM

Name, Surname:
Gender:
Arrival (date&time, airport):
Departure (date&time, airport):
Sending Organization:
Date of Birth:
Place of Birth:
Nationality:
ID or Passport number:
Address:
Contacts (email and phone number):
Role in your Organization:
Special Needs (vegetarianism; allergies; diseases, religious requests; or others):
Contacts to somebody in case of emergency (name, surname, relation to You, phone nr.):
Motivation (7-12 sentences including on what you can contribute and how this training may be useful in your future activities):

Дата добавления: 2015-11-04