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Title* Mr. Ms. Mrs. First Name* Middle Name Last / Family Name* Organisation Department Address* Postal Code Country* Choose one of here Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Republic of Congo Denmark Disputed Territory Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Iraq-Saudi Arabia Neutral Zone Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Occupied Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena and Dependencies Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and South Sandwich Islands South Korea Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Nations Neutral Zone United States United States Minor Outlying Islands Uruguay US Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe City* Phone No (international format) Mobile No Fax No (international format) E-mail* Type of organisation* IT industry Other industry Government NGO / Civil society University / research institute Other Type of delegate* ISC / NOC (and subcommittees) / Commission (vice)chair Ministerial level Invited government delegate Invited other Speaker Regular Student Exhibitor / Sponsor Press / Media

Information concerning the conference

Registration to attend the Parallel Sessions*(in order to manage the room allocation you are requested to indicate which commission has your interest)

Agriculture   Building the Infrastructure   Economic Opportunities   Education   E-Government   Environment   Health   Social, Ethical and Legal Aspects

Registration to attend the Side Events

1 ICT Exhibition 2 ICT Networking

Mailing list for future events*

I have no objection to being informed by e-mail about the follow up of WITFOR 2009 and about future WITFOR events (this permission can always be withdrawn). I do not wish to receive e-mails about the follow up of WITFOR 2009 and about future WITFOR events.

Additional information

Accommodation

Need assistance with reserving hotel room Yes No   See information on website about recommended hotels 1st preference for hotel: 2nd preference for hotel: If there is no room availability in the hotels of your preference, the travel agent will contact you with alternative suggestions. Type of room Single Double Smoking Non-smoking Other preferences concerning the room Date of Check-in (mm/dd/yyyy) Date of Check-out (mm/dd/yyyy) Accompanied by Member of Family/Spouse Yes No If Yes, Name

Flight Information

Arrival Date & Time (mm/dd/yyyy hh:ss) Flight/Vehicle No Departure Date   Time (mm/dd/yyyy hh:ss) Flight/Vehicle No.

Food preference

Vegetarian Muslim Others (specify):

Visa (see also the general information about visa on the website) (please check carefully if you need a visa and an invitation letter)

Need an official invitation letter for Visa Application* Yes No

If YES then the following information must be provided to the WITFOR Secretariat

Title* Mr. Ms. Mrs. Date of birth (mm/dd/yyyy)* Nationality* Address where you are living* Passport type* Diplomatic Passport Official Passport Ordinary Passport Other (specify) Passport No* Passport Date of Issue* (mm/dd/yyyy) Passport Expiration Date*(mm/dd/yyyy) Passport Place of Issue* Proposed Date of Arrival(mm/dd/yyyy) Port of Arrival Purpose of visit Where you plan to get visa*

(Please place the Viet Nam Diplomatic Missions in or near by your country where you plan to get your visa) Viet Nam Diplomatic Missions.pdf

Please send a scanned copy of your passport if you need an invitation letter.

!! Note that in some cases the organizers may have to ask for additional supporting documentation to verify the information needed for the invitation letter.

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