Anmeldung - UNI Europa Regional Conference 2021

Participant Details

First Name*

Last Name*

Gender*

Date of Birth*

Preferred Language for Communications*

Sectors

Multiple choice is possible

Contact Details

Mobile Number of participant*

Include Country Code (e.g. for UK add +44)

Email (Participant)*

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Must be a unique (personal) email address, please do not use generic email addresses.

Union / Organisation Details

Country*

Union*

If not found, please select "Other"

Name of Organisation (if Other)

Please identify the name of your organisation here, if not found in list

Name of Delegation Leader

The delegation leader must have "Delegate" status and be the agreed delegation leader of your union.

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More Information

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Will you be accompanied by your partner?*

Yes
No

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Partner's First Name*

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Partner's Family Name*

UNI Europa Virtual Regional Conference – 27.04.2021-29.04.2021

Conference Status*

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Will you attend the Conference Reception? (27.04.2021)*

Yes
No

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Will you attend the Conference Dinner? (28.04.2021)*

Yes
No

UNI Europa Virtual Regional Women’s Conference – 26.04.2021

UNI Europa Virtual Regional Women's Conference*

Yes
No

Conference Status*

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Will you attend the Women’s Conference Reception?

Yes
No

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Arrival Details

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Arrival Date

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Arrival Time

:

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Dietary Requirements

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Do you have any Dietary Requirements?

Consent

Personal Data*

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Keep Up to Date

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Hotel*

I confirm that I will make my own hotel booking

Phone

Dieses Feld dient zur Validierung und sollte nicht verändert werden.