Nomination to ACTIVE event
Sunny days - camp 2009 - Vlora, Albania
1. To be filled in by the organisation
Organisation:
Responsible person in the Organisation, Name and email address:
Participant:
Female
Male
First name:
Family name:
Address:
ZIP Code, City, County:
Phone home:
Phone work:
Mobile phone:
E-mail
Date of Birth:
To contact in an emergency case:
(Phone)
Mean of travels:
Plane
Train
Bus
The next section you only need to fill in if you require a visa.
Passport no:
Issued (date, place):
Issued by:
Expires:
2. To be filled in by the person nominated
Where will you stay?
Hotel
Tent
Food:
With meat
Vegetarian
Vegan
Kosher
Special diet
This field cannot be left empty
