International Conference HOLOCAUST & WAR CRIME PROSECUTION

PERSONAL INFORMATION

Name & Surname:
Passport Number / ID Card Number:
Permanent Address:

Phone:
Email:
Date of Birth (dd/mm/yyyy):
Gender:
Nationality:
Country:
Contact person in case of emergency (name, phone number):

STATUS & FEE Information (FEE information: Participant FEE: 27 € / day Total: 81 € Transport: 10 € Sightseeing: 10 € Social Program: 10 € ADVANCE PAYMENT 50 € ; Please note, that the application will not be accepted till we have received the advance payment (50 €) on the ELSA Brno bank account. The rest of the payment you will pay in cash after your arrival to Brno at the beginning of the welcome reception. In the case you don’t have to come to Brno, the advance payment is becoming cancelling fee. ELSA Brno Account IBAN CZ33 0800 0000 0013 4473 1389 BIC GIBACZPX Reference number: your date of birth (in form ddmmyy) Information for recipient: “your name and surname” advance payment HOLOCAUST 2010

Status:
ELSA Local Group (if you are ELSA Member or Alumni):

EDUCATION

Education:
University, Faculty:

OPTIONS

Please state any particular information the organising committee may require (allergies, food requirements, rooming options, etc.)::

ARRIVAL

Transportation: