Speakers’ registration - Civil Society Forum on Combating Antisemitism

User credentials

Please note that only one email address per participant can be registered in the system as it will be set to accept only 1 email address

E-mail *

Your e-mail will be the login of your account

Verify Email Address *

Re-enter your email address to confirm it

Password *

Minimum of 8 characters, with uppercase, lower, numeric and special ones.

Confirm your password *

Re-enter your password to confirm it

Personal Information

*Please note that information from the form below (i.e. Title, First / Last name and Company name - all fields marked with an asterisk) will be used to produce your delegate badge and list of participants. Please fill it out information as you would like it to appear in print.

First name *

Last name *

City *

Country *

Time Zone *

Your picture

Biography

Organisation Information*

*Please note that the information provided about your organisation will be published in a brochure which will be disseminated at the conference or displayed on the screen.

Organisation type *

Organisation name *

Job position *

Short description of organisation – the mission and main objectives *

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Sessions

I would like to participate in the following workshop :

Travel details

Please select from the following options: *

Arrival

ARRIVAL

Departure city *

Departure date *

return

RETURN

Return city *

Return date *

Phone number

Comments

Please note that the European Commission covers the travel and accommodation for one night for those travelling from outside Brussels and for which the organisation/headquarters is not in Brussels. If so, please add the travel details on the registration form. The event organiser will contact you directly to check possibilities.

Additional questions

Are you fully kosher/halal? * Yes No

Do you have any other dietary restrictions? * Yes No

Please specify

Will you attend the dinner on 16 November? * Yes No

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