REGISTRATION FORM
Please fill in the form below and press submit button to register !
1. Personal Details Per
*Title:
* First Name:
* Last Name:
*Sex: Male Female Third Sex
Date of Birth [YYYY-MM-DD]
*Organization:
*Designation:
URL:
Street Address / P.O.Box:
*City:
Postal Area / Code:
*Country:
*Email:
Phone:
Fax:
   
2. More about Yourself
Short biographical outline about yourself (Not more than 200 words) *
What excites you about this conference? Which themes (maybe more than one) of this conference intests you and why ? *
How can you contribute to discussions related to Violence Against Women in Politics (VAWIP) in terms of policies, politics and participation ? *
* Which Category of delegate are you?
Politician
Development Professional
Researcher / Academician
Gender Expert
Activist
Legal Professional
Media Professional
Government Representative
Individual
Others
3. Travel Plan
* Origin of Travel (city):
* Origin of Travel (counry):
* Date of arrival at Islamabad (planned):
* Date of departure from Islamabad (planned):
* Nationality:
Passport Number:
* Exact name as in passport :
4. VISA
Yes No
Where can I obtain visa:
VISIT http://www.welcomenepal.com/brand/travel_general.asp
Where can I obtain a visa application form: and get additional Information ?
VISIT http://www.welcomenepal.com/brand/travel_general.asp
5. Requirements  
Dietary requirements (please specify):

Vegetarain Non Vegetarian

Others
Disability access requirements (please specify):
Other requirements (please specify):
6. Sponsorship (Full and partial sponsorships are available in limited numbers)
In order to attend the conference, what kind of funding would you require ? : None
Full (travel: excursion economic fare, food and accomodation)
Partial (food and accomodation only)
Any available
If you are applying for sponsorship, what is the approximate amount required for your excursion economic travel (in US$) ? :
Why do you think you deserve sponsorship ? (Not more than 200 words) :
7. Privacy
Concerence organizers would like to publish information on participants on the conference website and in the conference proceeding. Which of the following details can the conference organizers publish ? Name
Organization Name
URL/Website Address
Email Address
Your short biographical outline
Respone to the question: "What excites you about this conference? Which themes (maybe more than one) of this conference interests you and why?"
Response to the question: "How can you contribute to discussions related to VAWIP with regard to policies, politics and participation?"
8. Additional Comments
Any additional comments that you would like the organizers to know about your registration or special requirements of your participation

You must fill in the fields marked with a *