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REGISTRATION FORM


 

8th SESSION OF THE PUIC CONFERENCE AND RELATED MEETINGS

KHARTOUM – REPUBLIC OF THE SUDAN

17 – 22 JANUARY 2013

 

REGISTRATION FORM

Please fill in – using capital letters – and return this form no later than December, 2012, to both address

 

THE NATIONAL LEGISLATURE

REPUBLIC OF THE SUDAN

PUIC GENERAL SECRETARIAT

Postal Code – 14416

Tel: (249) 187 557918 – 187 557959

Fax: (249) 187 560950

E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

P.O. Box 19395 – 3851, Tehran, Iran

Tel: (9821) 22418860/ 61 / 62

Fax: (9821) 22418858/59

E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

National Group or Organization:- …………………………………………………………………………………………………………….……………….………..

The undersigned,

Last Name (Mr./ Mrs./ Ms.) …………………….………………………………………    First Name …………………………………………….………..……..

Address: …………………………………………………………… City: ……………  ……………..  Country: ……………………………………………...………

Phone: …………………………………………. Fax: ……………………………………..……….E-mail …………………..…………………………………..……..

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Name

Position

Accompanying Persons

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*Following Documents are required for registration: Scanned Photograph (3.5 x 4.5 cm)