ࡱ> svr #bjbj 8rrrs & & 8|HG4LN%,Q3333333$=683iii34777ij37i3770*2p5Ȁv&1340G4<1}9I}9,*2*2}9>2tii7iiiii33ZiiiG4iiii}9iiiiiiiii& F: IOC/UNESCO INTERGOVERNMENTAL COORDINATION GROUP FOR THE TSUNAMI EARLY WARNING AND MITIGATION SYSTEM IN THE NORTH-EASTERN ATLANTIC, THE MEDITERRANEAN AND CONNECTED SEAS (ICG/NEAMTWS) REGIONAL WORKSHOP ON TSUNAMI WARNING AND EMERGENCY RESPONSE FOR THE NORTH-EASTERN ATLANTIC, MEDITERRANNEAN AND CONNECTED SEAS (NEAMTWS) 2324 September 2014, Rabat, Morocco APPLICATION FORM Deadline for applications: 1 August 2014. Successful applicants will be contacted by 1September 2014. Applications should be sent to the ICG/NEAMTWS Secretariat by email to:  HYPERLINK "mailto:f.santoro@unesco.org" f.santoro@unesco.org. Please indicate: Do you wish to apply for travel, accommodation and subsistence support?*  FORMCHECKBOX  Please refer to the announcement letter for eligibility criteria for travel, accommodation and subsistence support. *Funding support is limited to those countries indicated in the announcement letter. Are you a middle to senior national seismic network manager or operator?  FORMCHECKBOX  Or Are you a middle to senior Disaster Management Organization (DMO) manager  FORMCHECKBOX  or operator? Or Are you a middle to senior national sea-level monitoring manager or  FORMCHECKBOX operator? PERSONAL INFORMATION PERSONAL INFORMATIONNAMETITLE FORMCHECKBOX  DR.  FORMCHECKBOX  MR.  FORMCHECKBOX  MS.  FORMCHECKBOX  Others _________GENDER FORMCHECKBOX  MALE  FORMCHECKBOX  FEMALEDATE OF BIRTH (DD-MM-YYYY)NATIONALITYORGANIZATION AND POSITIONADDRESSTELEPHONE NUMBERFAX NUMBEREMAIL ADDRESSEDUCATIONAL BACKGROUND LEVELSCHOOLDEGREEYEAR GRADUATEDTERTIARYMASTERSDOCTORALPOST DOCTORALTSUNAMI RELATED TRAINING TITLECONDUCTED BYINCLUSIVE DATESTRAVEL INFORMATION NB. Please attach a copy of the personal details page of your passport with your application TRAVEL INFORMATIONPASSPORT NUMBERFULL NAME (AS PRINTED ON PASSPORT)DATE OF ISSUEPLACE OF ISSUEEXPIRY DATENEAREST INTERNATIONAL AIRPORT5. ADDITIONAL INFORMATION Have you been officially nominated to attend this workshop by your countrys Permanent Delegation to UNESCO, or UNESCO National Commission, or IOC Focal Point?  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