African Union Conference of Health Ministers

	3^rd Ordinary Session of the Conference of African Union of Ministers of Health - (CAMH3) Monday, 9^th to Friday, 13^th April 2007 Sandton Convention Centre, Johannesburg, South Africa

REGISTRATION FORM:

PERSONAL DETAILS:
Company / Regional Organization:
Full Name:
Sex:	Male Female
Designation:
Type of Delegate:
Head of Delegation Delegate Support Staff
Other (Please Specify):
Date of Birth:	/ /
Place of Birth:
Country of Birth:
Nationality:
ID / Passport Number:
Date of Issue:	/ /
Place of Issue:
Date of Expiry:	/ /


CONTACT DETAILS:
Telephone Number:
Cellphone Number:
Fax Number:
Email:
Work Address:


Home Address:


Country:
Special Dietary Requirements:


TRAVEL ARRANGEMENTS:
ARRIVAL:
Date of Arrival:	/ /
Time of Arrival (24 hour format):	:
Flight Number:
Name of Hotel (Johannesburg):
DEPARTURE:
Date of Departure:	/ /
Time of Departure (24 hour format):	:
Flight Number:


EVENTS:
Will you be attending:

Opening Ceremony, Tuesday, 10 APRIL 2007	: Yes No

Dinner-Minister of Health, Tuesday, 10 APRIL 2007	: Yes No

Tour to Johannesburg, Friday, 13 APRIL 2007	: Yes No


COMMENTS:

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3rd Ordinary Session of the Conference of African Union of Ministers of Health - (CAMH3)