NATO CIMIC Functional Specialist Course 01-2021

With your registration you confirm that the payment of the course fee is assured.

Name:

First Name:

Date of Birth:

Email:

Nationality:

Rank:

Service:

Address Details

Street

Zip Code

Place:

Country:

Business Details:

Organization / Unit:

Street:

Zip Code:

Place:

Country:

Duty Email:

Invoice Address:

Course Application:

Motivation for attending the course:

Icebreaker:

Course Dinner:

Religious/ cultural dietary requirements:

Military accommodation required:

Date of Arrival:

Date of Departure: