Answers marked with a * are required.
 
 
1. First name (as per ID or passport):

 *
 
 
 
2. Family name (as per ID or passport):

*
 
 
 
3. Organisation name:

*
 
 
 
4. Organisation address:
 
 
 
5. Post code:
 *
 
 
 
6. City:
 *
 
 
 
7. Country:
 *
 
 
 
8. Job title:

 
 
 
9. Gender:

 *
      
 
 
 
10.
Date of birth (day/month/year) *
 
 
 
11. Nationality: *
 
 
 
12. City of residence:
 
 
 
13. Country of residence:
 
 
 
14. Phone (00 …..): *
 
 
 
15. Email 1: *
 
 
 
16. Passport/ID number:
 
 
 
17. Passport/ID expiration date:
 
 
 
18. Preferred departure city: *
 
 
 
19. Preferred arrival city: *
 
 
 
20. Preferred date of arrival

Please note that the organisers are only allowed to finance the travel to and from the event and the accommodation during the event
 
 
 
21. Preferred date of departure

Please note that the organisers are only allowed to finance the travel to and from the event and the accommodation during the event ​
 
 
 
22. Do you need a visa?
      
 
 
 
23. Do you want to attend session in:
      
 
 
 
24. Special needs/requests: (food, allergies, mobility):
 
 
 
Once validated, you will not be able to change the information in this registration form  

After submission of this form and in order to finalize your registration to the event, please send us a scan of your passport by e mail to globalevent@gcca.eu 

 In case you do need to make changes later, please contact globalevent@gcca.eu
  
 
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