| REGISTRATION FORM |
| * Salutation |
|
| * First Name |
|
Middle Name |
|
| * Last Name |
|
| * Official Title |
|
| * Agency/Institution |
|
* Capacity in which attending the meeting |
|
If your capacity attending the meeting is either Head of Member Delegation or Member Delegation, please choose affiliation from the list below.
Member Affiliation:
|
| Department/Division |
|
| * Address 1 |
|
| Address 2 |
|
| * City |
|
* State/Province |
|
| Zip/Postal Code |
|
* Country
|
|
* Telephone (include country/area code) |
|
Fax (include country/area code) |
|
| * Primary Email |
|
* A letter from the World Bank is required for VISA purposes?
Yes
No
If yes, please send an email to Feroza Vatcha at fvatcha@worldbank.org with the name of the US Consul where you will apply for your visa, your name as it appears on your current passport, title, nationality, date of birth, passport number, purpose of your travel to the US, date of entry to the US, date of exit from the US and email address.
|
Further information about the CGIAR Business Meeting will be e-mailed as available.
|