ATTACHMENT B CROSS BORDER ATFM WORKSHOP (21 – 22

TRANSLATION ATTACHMENT 1 DETAILS OF MANAGEMENT AND
(ATTACHMENT 1) LAKEVIEW HEALTH CENTER VOLUNTEER INFORMATION SHEET NAME
(ATTACHMENT A) EUROPASS CURRICULUM VITAE INSERT PHOTOGRAPH REMOVE HEADING

(FACILITY NAME) EMERGENCY OPERATIONS PLAN ANNEX C EVACUATION ATTACHMENT
(RD GUIDE 19 ATTACHMENT 7) RD INSTRUCTION 1942A
(RD GUIDE 19 ATTACHMENT 8) FMHA INSTRUCTION 1942A

Registration Form (Indonesia)

Attachment B

Cross Border ATFM Workshop

(21 – 22 October 2015, Jakarta, Indonesia)


REGISTRATION FORM



PLEASE PRINT OR TYPE CLEARLY


  1. NATTACHMENT B CROSS BORDER ATFM WORKSHOP (21 – 22 ATTACHMENT B CROSS BORDER ATFM WORKSHOP (21 – 22 ATTACHMENT B CROSS BORDER ATFM WORKSHOP (21 – 22 ame in full: Mr . / Mrs / Ms ………………………………………………………………

(As in your passport, please capitalize the surname and check your salutation)

  1. Title or Official Position: …………………………………………………………………………………

  2. State/ Organization: …………………………………………………………………………………………

  3. Mailing Address: ……………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

  1. Telephone: ………………………… Fax: ………………………… E-mail: ……………………………

  2. Passport Number: ……………… Date of Issue: …………… Date of Expiry: …………………

  3. Nationality: …………………………

  4. Hotel: ……………………………………………………………………………………………………………

  5. Diet Requirements: ………………………………………………………………………………………………


Note: Participants are expected to make their own hotel arrangements

ATTACHMENT B CROSS BORDER ATFM WORKSHOP (21 – 22



After completing, please send it to [email protected] and the following e-mail address noted below:



Mr. Hiroyuki Takata Ms. Melisa Wee Mr. Stuart Ratcliff

Regional Officer Regional Officer Coordination Point

ICAO APAC RSO ICAO APAC RSO IATA-ICAO Partnership

Email: [email protected] Email: [email protected] Email: [email protected]







0 ATTACHMENT 3 INTERNATIONAL CIVIL AVIATION ORGANIZATION AERONAUTICAL MOBILE
08-ADM-12-Attachment-9-Agreement-to-Modify-Order-of-Support-andor-Compromise-Arrears-shd
112011 CP&PIXF1300 ATTACHMENT MAINTAINING THE CHECK LEDGER TO


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