Sponsorship Form

Personal Particulars

Family Name: *

First Name: *

Title: *

Date of Birth: *

Place of Birth: *

Position: *

Organisation/Inst: *

Full Adress: *

Telephone: *

Fax: *

E-Mail: *

Passport NO: *

Country: *

Valid until: *

Sponsorship Requested

What type of sponsorship do you request(any combination is possible)

Air ticket from:

Accomodation:

Registration fee:

What will be the applicant’s financial effort for participating in the conference?

Relation with the conference

Kindly explain why the conference contents are relevant in relation with your position or responsibilities, or how they relate to an existing international programme/partnership or to your organisation or to Local Government. *

I have read and accept the terms and conditions of sponsorship

Support for this sponsorship application:

This sponsorship application is supported by:

Family Name:

First Name:

Organisation/Inst:

Position:

Telephone:

Fax:

E-Mail:

Remarks

In this field you have some space left to make important remarks we should know about.

Fields or sections marked with * are mandatory.