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APRW/JASPARC 2012 Travel Information Form
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Name
*
Your full name (First Name then Last Name)
Your answer
Country
*
Your answer
Birthdate
*
MM/DD/YYYY
Your answer
Gender
*
Male
Female
National Association and Chapter
*
example: Indonesia - Krakatau Chapter
Your answer
Email
*
We will include you in the APRW/JASPARC 2012 mailing list.
Your answer
What workshop are you attending?
*
You can only choose one.
IPP
MOSAIC
Chapter Development
Training the Trainers
Education and Evaluation
Trustees Regional Conference Asia Pacific
JASPARC
Other:
I am attending APRW/JASPARC 2012 as a:
*
You can only choose one.
participant
facilitator/trainer
host staff
Other:
Any special dietary needs?
*
(ex. vegan, lactose-intolerant, allergic to gluten, does not eat fish, kosher, etc.)
None
Other:
ARRIVAL
I am arriving at the following airport:
This applies for all international travelers only. For domestic travelers, leave blank.
Manila - Ninoy Aquino International Airport (NAIA) Terminal 1
Manila - NAIA Terminal 2
Manila - NAIA Terminal 3
Clark/Manila - Diosdado Macapagal International Airport (DMIA)
Clear selection
My airline and flight number is:
Your answer
My date of arrival is:
MM/DD/YYYY
Your answer
My local (Philippine) time of arrival is:
please indicate if AM or PM
Your answer
My plane is arriving from:
Your answer
Do you need homestay before the APRW/JASPARC?
Yes, please find me a host.
No, I do not need homestay.
Clear selection
DEPARTURE
I am departing from the following airport:
Manila - Ninoy Aquino International Airport (NAIA) Terminal 1
Manila - NAIA Terminal 2
Manila - NAIA Terminal 3
Clark/Manila - Diosdado Macapagal International Airport (DMIA)
Clear selection
My airline and flight number is:
Your answer
My date of departure is:
MM/DD/YYYY
Your answer
My local (Philippine) time of departure is:
please indicate if AM or PM
Your answer
My plane is leaving for:
Your answer
Do you need homestay after the APRW/JASPARC?
Yes, please find me a host.
No, I do not need homestay.
Clear selection
In case any questions arise regarding your travel arrangements, who can we contact?
Please give the name and telephone number of a person who knows of your travel plans.
Your answer
For any questions, email:
aprw2012@qc.cisv.ph
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