6Th AMC DRR, Bangkok, Thailand Registration Form

6th AMC DRR, Bangkok, Thailand Registration Form

The 6thAsian Ministerial Conference on Disaster Risk Reduction

Bangkok, Thailand

22-26 June, 2014

The Royal Thai Government is pleased to invite you to the Sixth Asian Ministerial Conference on Disaster Risk Reduction in Bangkok on 22-26 June 2014 to be held in Bangkok, Thailand. The conference is hosted by the Royal Thai Government in collaboration with UNISDR. Participants from local and national Governments, Regional Intergovernmental Organizations, United Nations and International Organization, NGOs and civil society organizations, Private sector, Scientific and Academic community, development partners and media are expected to join this event.

All participants are required to register on-line through the registration link visit The focal point in the host country (Thailand) will validate each registration and confirm the participants accordingly.

If ‘ONLY’ you are unable to register on-line then please use this form to register. Please fill in all required details and send it to . All offline registration will be treated case-by-case basis and will be included in the on-line registration if approved by the secretariat. Please note that the processing of offline registration may take longer time and hence participants are requested to use it only in exceptional circumstances.

Obtaining visa to enter Thailand will be the responsibility of each participant.

Registration Form

(Please note all the * marked fields are mandatory and the form will be unusable if any of the mandatory field left blank)

Which delegation will you be a member of?*

Official government delegation Which government? ______

Other delegation

About You

Salutation*: ______

First Name*:______

Family Name*: ______

Gender*:Male/ Female

Nationality*:______

Where You Work

Type of Organization*: ______

Organization Name*:______

Please enter the full name of the organization where you work and avoid using acronyms. If you work for a government, please provide the exact department
and not, for example, 'Government of Thailand'.

Number of Staff/ Employees (globally)*:______

Job Title*:______

Work Email*:______

Confirm Work Email*:______

Please include country code in Phone, Mobile and Fax number

Work Phone Number*:______

Mobile Number*:______

Fax*:______

Organization Website*:______

Organization Address

County of Location*: ______

Street Address*:______

______

______

______

City/ Town/ Village*:______

Postal Code*:______

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