Registration Form

Instructions:

Please note that the registration for this Conference is free of charge. However, participants are expected to meet their own expenses for travel, food and accomodation.
Please complete this registration form as soon as possible (especially for those who need an entry visa to France). The final submission date of this form is 20 September 2008.
For more information, please contact Ms Florence Trauscht (florence.trauscht@ei-ie.org, Tel: +32-2-224-0611)
Please note that ALL FIELDS ARE COMPULSORY.

1. Personal particulars

Title	Dr Mr Ms
Given Name:
Family Name:
Institution/Organisation:
Position:
Full Postal Address:
Country:
Mobile Phone Number:
Fax (if any):
Email address:
	Please re-enter your email address:
Day of Arrival in Lille:
Time of Arrival in Lille:	hh mm
Day of departure:
Time of departure:	hh mm

Hotel: For the booking of hotel rooms for this conference, please click on this link to the Tourism Office of Lille: www.lilletourism.com

2. Visa and other documents

Do you need an official letter of invitation in order to obtain an entry visa to France?	Yes No If yes, this will be sent to you as soon as possible by email.
Do you need a certificate of participation to be entitled to a refund?	Yes No If yes, this will be given to you during the conference.

3. Programme registration

You will attend	6 Oct 7 Oct 6-7 Oct
Please indicate the first and second choices of the working session that you would like to attend on 6 Oct Monday.
1st choice:
2nd choice:

4. Any other comments and particular requirements (mobility, sight, hearing, dietary etc)?

5. Privacy Statement

Education International collects your personal data in order to register your participation in the conference, and to contact you if necessary. By no means shall we disclose these data to third parties, nor use them for commercial objectives. In accordance with the 1992 Privacy Protection Act (Belgium), you have the right to request a copy of your personal data in our registration data file and to let us alter these data if necessary, simply by contacting us.