Data fields with asterisk(*) are required.
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PERSONAL INFORMATION
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* User Name |
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* Password |
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* Re-enter Password |
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* Title |
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* Full Name |
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* GMS Institution
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Designation |
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* Company / Organization |
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* Country |
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* Company Address |
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Telephone No. |
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Mobile No. |
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Fax No. |
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* Email Address |
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MEETING ATTENDANCE |
* Meetings to be attended |
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Senior Officials Meeting Development Partner's Meeting Ministerial Meeting Ministerial Retreat Other (specify) |
OPTIONAL PROGRAM ATTENDANCE |
Optional Program |
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Welcome Dinner Ministerial Welcome Dinner Fellowship Dinner Tour Other (specify) |
| HOTEL ACCOMMODATION |
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Note: Any booking after 28 July 2010 should be made directly to the hotel. For express check-in at the hotel, kindly provide passport details under Visa Assistance.
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Booking Assistance |
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Yes No |
* Hotel Name |
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* Room Type |
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* Check-in Date |
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* Check-out Date |
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VISA ASSISTANCE |
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Reminder: For express check-in at the hotel upon arrival, fill up passport details here. |
VISA Assistance |
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Yes No |
* Passport No |
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* Citizenship |
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* Place of Birth |
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* Date of Birth |
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* Issue Date |
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* Expiry Date |
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* Place of Issue |
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Type of Passport |
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Diplomatic Official Regular |
* Place where to apply for Viet Nam visa |
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| TRAVEL DETAILS |
Arrival Flight No. |
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* Arrival Date |
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Arrival Time |
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Departure Flight No. |
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* Departure Date |
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Departure Time |
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PHOTO ID |
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| All delegates are required to submit on or before 28 July 2010, two passport size photos for purposes of the security ID to be issued by the Secretariat. Digital photos (passport size) can be sent by email, or printed photos can be mailed to the ADB Coordinator. |
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| ADB COORDINATOR |
| Mr. Pradeep Srivastava |
| Senior Regional Cooperation Specialist |
| Regional Cooperation and Integration Group, Southeast Asia Department |
| Asian Development Bank |
| 6 ADB Avenue, Mandaluyong City, |
| 1550 Metro Manila, Philippines |
| Tel. No. PH +63 26325612 |
| Fax. No. (63 2) 636 2226 |
| E-mail: psrivastav@adb.org |
| cc: rcanoso.consultant@adb.org |
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