docDurban, South Africa | 15-16 October 2014 Durban, South
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Durban, South Africa | 15-16 October 2014 Durban, South
REGISTRATION FORM ACI - DNA Assistance Programme: “Airport Economics Workshop” Durban, South Africa | 15-16 October 2014 OR “Airport Customer Service Workshop” Durban, South Africa | 15-16 October 2014 Please fill in one registration form per participant and return it by 26 September 2014 by email to: [email protected] or by fax (+1 514 373 1201). Warning: The registration form must be signed by the applicant and countersigned by the airport’s Director so as to be processed. Participants are required to pay for their plane tickets, hotel accommodation, visa if necessary, and sickness and accident insurance. PERSONAL DETAILS Mr. / Ms / First name: …….......…………...... Last name: ………………………...................... Business title: …………………………………………………………………........................ Airport: …………….........…………………….... Country: ………………………….....……………….. Direct tel.: ……………………………………..... Direct fax: ………………………….................. Email: ………………………………………...... Dietary Restrictions (please specify if any): ………………………………………...... WORKSHOP INFORMATION Which workshop would you like to attend? *** Airport Economics Workshop OR Airport Customer Service Workshop ***Only two (2) participants per ACI Member per workshop may participate. Name to be printed on your certificate: ………………………………………...... ACI-DNA Assistance Programme | P.O.Box 302, 800 Rue du Square Victoria, Montreal, Quebec H4Z 1G8 Canada | Tel: + 1 514 373 1200 | Fax: + 1 514 373 1201 | Email: [email protected] ACI Africa |Académie Internationale Mohammed VI de l’Aviation Civil, Nouasseur, Casablanca, Royaume du Maroc | Email: [email protected] TRAVEL Arrival in Durban (DUR): date: ………… time: ……… flight: ………. Departure from Durban (DUR): date: ………… time: ……… flight: ………. VISA I don’t need a visa I need a visa If YES, please indicate which embassy or consulate the ACI-DNA Assistance Programme should address your visa invitation letter. (NOTE: The visa invitation letter from ACI does not guarantee that you will receive your visa) …………………………………...................................... TERMS OF PARTICIPATION Your registration will be reviewed and approved by the ACI-DNA Assistance Programme in conjunction with the host ACI region. Only 25 registrations received per seminar will be taken into consideration on a first come, first served basis. Any registrations received beyond this number will be placed on the seminar waiting list, to be confirmed at the discretion of the ACI-DNA Assistance Programme. The participation in the seminar is complementary. Participants are required to book and pay for their hotel accommodations, their plane tickets to and from Durban, their visa if necessary, as well as any other related travel expenses. ACI-DNA Assistance Programme | P.O.Box 302, 800 Rue du Square Victoria, Montreal, Quebec H4Z 1G8 Canada | Tel: + 1 514 373 1200 | Fax: + 1 514 373 1201 | Email: [email protected] ACI Africa |Académie Internationale Mohammed VI de l’Aviation Civil, Nouasseur, Casablanca, Royaume du Maroc | Email: [email protected] REGISTRATION FORM (continued) ACI - DNA Assistance Programme “Airport Economics Workshop” and “Airport Customer Service Workshop” Durban, South Africa | 15-16 October 2014 ADDITIONAL INFORMATION Use additional blank sheets if necessary Applicant’s education and previous professional experiences: ……………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………... Applicant’s current tasks and responsibilities: ………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………... Applicant’s future career plan: ……………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………... Overall objectives to be reached through the applicant’s attendance to the training seminar: ………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………... Place and date : APPROVED by (name of Director) : …………………………………………… ……………………………………………… Applicant’s signature : Director’s signature: ACI-DNA Assistance Programme | P.O.Box 302, 800 Rue du Square Victoria, Montreal, Quebec H4Z 1G8 Canada | Tel: + 1 514 373 1200 | Fax: + 1 514 373 1201 | Email: [email protected] ACI Africa |Académie Internationale Mohammed VI de l’Aviation Civil, Nouasseur, Casablanca, Royaume du Maroc | Email: [email protected]
