docBULLETIN D`INSCRIPTION REGISTRATION FORM
download 
Plainte Transcription
BULLETIN D`INSCRIPTION REGISTRATION FORM
3es RENCONTRES AFRIQUE/EUROPE DES HUISSIERS DE JUSTICE 26/27 SEPTEMBRE 2013 - PALAIS DES CONGRES DE LOME-TOGO THIRD AFRICAN EUROPEAN MEETINGS OF JUDICIAL OFFICERS 26/27 SEPTEMBER 2013 -PALACE CONGRESS OF LOME-TOGO BULLETIN D’INSCRIPTION REGISTRATION FORM Prénoms (First name):…………………………………………………………………………….………………………………………… Nom (Surname):…………………………………………………………………………………………………………………….….……… Addresse (Address):……………………………………………………………………………………………………….…………………. Profession (Occupation):…………………………………………………………………………………………………………………… Telephone (Telephone number):…………………………………………………………………………………...…………………. FAX (Fax):………………………………………………………………………………………………….……………………………………….. Email (Email):…………………………………………………………………………………………..………………………………………… Nationalité (Nationality):………………………………………………………………………………………………………………….… Ville de provenance (Home address)………………………………………………………………………………………………….. Date et l’heure d’arrivée à l’aéroport Gnassingbe Eyadema de Lomé/Togo (date and time of arrival at the Gnassingbe Eyadema Airport in Lomé/Togo:…..…………………………………………….………. N° du Vol (Flight N°)……………………………………………………………………………………………..…………………….……… Hôtel choisi (Chosen Hotel)……………………………………………………………….……………………………………….………. SVP. : Bulletin à retourner à la Chambre nationale des huissiers de justice du Togo avant le 15 août 2013 : B.P. 81594 Lomé, République du Togo. Tel: +228-22 51 61 67/ +228-90 02 32 25, Email: [email protected], [email protected]. P.S.: This form should be returned to Chambre nationale des huissiers de justice du Togo before 15 August 2013: P.O.Box: 81594 Lomé, Republic of Togo. Tel: +228-22 51 61 67/ +228-90 02 32 25, Email: [email protected] , [email protected]. DATE ET SIGNATURE DATE AND SIGNATURE
