23rd ERYICA General Assembly

23rd ERYICA General Assembly

Venue: Sliema, Malta

Date: 19 April 2012 15:30 - 22 April 2011 13:00

The programme of the event will be provided at a later stage. Airport transfers will be organised by the host organisation. For any other inquiry please contact Imre Simon - imre.simon@eryica.org

Personal information

First name: *

Last name: *

Organisation: * select...AD Departament de Joventut I Voluntariat del Govern d’AndorraAT jugendinfo.ccBA Omladinska informativna agencija BiH (OIA)BE InfotreffBE IN PETTOBE Vlaams Informatiepunt Jeugd vzwBE Fédération Infor Jeunes Wallonie-BruxellesBE CIDJBY Youth Information Centre MinskCH INFOKLICK.CH, Kinder- und Jugendförderung SchweizCY Youth Board of CyprusCZ NARODNI INSTITUT DETI A MLADEZEDE IJABEE ENTKES INJUVEFI KOORDINAATTIFI ALLIANSSIFR CIDJGR Institute for YouthHR Zajednica ICM u HrvatskojIE Office of the Minister for Children and Youth AffairsIT Coordinamento Nazionale InformagiovaniLI aha - Tipps und Infos für Junge LeuteLU Centre Information JeunesME Forum Mladi i Neformalna EdukacijaMK Coalition of youth organizations SEGAMT Aġenzija ŻgħażagħNL JONG RotterdamNO Forum för UngdomsinformasjonskontorPT IPJRO Asociata Euro26 RomaniaSE Solna UngInfoSI Zavod MISSSTR GSM-Gençlik Servisleri MerkeziUK YouthNetUK Young Scot EnterpriseUK Promo-CymruEU ERYICA and Guests

Title in Organisation: *

Country: * select...AFGHANISTANÅLAND ISLANDSALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIA, PLURINATIONAL STATE OFBONAIRE, SAINT EUSTATIUS AND SABABOSNIA AND HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGOCONGO, THE DEMOCRATIC REPUBLIC OF THECOOK ISLANDSCOSTA RICACÔTE D'IVOIRECROATIACUBACURAÇAOCYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFRENCH SOUTHERN TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUERNSEYGUINEAGUINEA-BISSAUGUYANAHAITIHEARD ISLAND AND MCDONALD ISLANDSHOLY SEE (VATICAN CITY STATE)HONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRAN, ISLAMIC REPUBLIC OFIRAQIRELANDISLE OF MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OFKOREA, REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYAN ARAB JAMAHIRIYALIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OFMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA, FEDERATED STATES OFMOLDOVA, REPUBLIC OFMONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINIAN TERRITORY, OCCUPIEDPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO RICOQATARRÉUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT BARTHÉLEMYSAINT HELENA, ASCENSION AND TRISTAN DA CUNHASAINT KITTS AND NEVISSAINT LUCIASAINT MARTIN (FRENCH PART)SAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA LEONESINGAPORESINT MAARTEN (DUTCH PART)SLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDSSPAINSRI LANKASUDANSURINAMESVALBARD AND JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB REPUBLICTAIWAN, PROVINCE OF CHINATAJIKISTANTANZANIA, UNITED REPUBLIC OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESUNITED STATES MINOR OUTLYING ISLANDSURUGUAYUZBEKISTANVANUATUVENEZUELA, BOLIVARIAN REPUBLIC OFVIET NAMVIRGIN ISLANDS, BRITISHVIRGIN ISLANDS, U.S.WALLIS AND FUTUNAWESTERN SAHARAYEMENZAMBIAZIMBABWE

E-mail: *

Phone: *

ERYICA status: *

Member

Affiliated Organisation

Co-operating Organisation

Other (Guest, Speaker, Support Staff)

Special requirements (concerning diet, allergy, etc.):

Postal address: *

Landline office phone number: *

Accommodation

Nights staying in the hotel: *

19 April (Thursday)

20 April (Friday)

21 April (Saturday)

Notes on Accommodation (more nights needed, special needs or requests):

Arrival

Place of arrival: *

Arrival date: *

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Time of Arrival: *

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Means of arrival: *

Plane, train, bus, etc...

Arriving from: *

Flight/train number: *

Departure

Place of departure: *

Departure date: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Time of Departure: *

hour01234567891011121314151617181920212223

:

minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

Means of departure: *

Plane, train, bus, etc...

Departing to: *

Flight/train number: *

Participation fee

Participation fee: *

ERYICA Member Organisation - 70 EUR per night

Affiliated Organisation - 110 EUR per night

Cooperating Organisation - 140 EUR per night

Data for Invoice (if left blank, data as of above will be used)

Name of organisation:

Postal address:

Name of contact person:

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