Registration Form

In which workshops would you like to participant ? (please tick):
1.

Good Governance
Australia & New Zealand (24 March to 2 April, 2012)
2.

Leadership in Urban & Rural Development
Australia & New Zealand (24 March to 2 April, 2012)
3.

Good Governance India & Thailand (4 - 14 May, 2012)
4.

Leadership in Local Government
India & Thailand (4 - 14 May, 2012)
5.

Good Governance Thailand & China(15 - 24 June, 2012)
6.

Local Government Management
Thailand & China(15 - 24 June, 2012)
7.

Good Governance India & China (20 - 29 July, 2012)
8.

Leadership in Urban & Rural Management
India & China (20 - 29 July, 2012)
Name of Applicant :
Nationality :
Designation :
Agency :
Date of Birth : / / Format(Date-Month-Year)
Sex :
Contact Details  
Address :
Country :
Phone : (Office)
  (Residence)
  (Mobile)
Fax :
Email :
Web Site :
Passport Details
Passport No :
Place of Issue :
Date of issue : / / Format (Date-Month-Year)
Date of Expiry : / / Format (Date-Month-Year)
Hotel Accommodation : Single Room
Meal Preference : Vegetarian Non-Vegetarian
Source of Funding :
     
How did you come to know about this programme (please tick):
    Received printed brochure and letter by post
    Received information by email
    Others (kindly specify):