REGISTRATION FORM / FORMULAIRE D’INSCRIPTION

By sending back this registration form to EJTN, the participant agrees to the terms and conditions of participation of the activity.

En renvoyant ce formulaire d’inscription au REFJ, le participant accepte les termes et conditions de participation de l’activité.

I.  INFORMATION ON THE EVENT / INFORMATION SUR L’ACTIVITE

Type of event / Type d’activité: Criminal Justice Seminar – International Judicial Cooperation in Criminal matters in practice

Activity number/référence de l’activité: CR/2015/06

Venue/ Lieu: Domstolverket – Torsgatan 11 – Stockholm - Sweden

Starting date & time / Date et heure de début: Monday 15 June 2015, 8:45 AM

Final date and time/ Date et heure de fin: Wednesday 17 June 2015, 12:00 pm

II.  INFORMATION ON THE PARTICIPANT / INFORMATIONS SUR LE PARTICIPANT

Surname / Nom:

First name / Prénom:

Function (judge/prosecutor/other)/Fonction (juge/procureur/autre):

Institution of origin / Institution d’origine:

Mode of transportation / Mode de déplacement:

Transport to refund to / Transport à rembourser à: participant institution

Arrival / arrivée / Departure / départ
Date / Time / Heure / Date / Time / Heure

Bank details for the refund of the per diem / Coordonnées bancaires pour le remboursement du per diem:

Bank account holder / Titulaire du compte bancaire :

IBAN:

BIC / SWIFT:

Bank details for the refund of the transport (when applicable only) / coordonnées bancaires pour le remboursement du transport (à ne remplir qu’en cas d’application):

Bank account holder / Titulaire du compte bancaire :

IBAN:

BIC / SWIFT:

III.  PRACTICAL ARRANGEMENTS / ORGANISATION PRATIQUE

1°) Accommodation

I wish to be accommodated in one of the proposed hotel (mention “1” for first choice and “2” for the second one):

Choice of hotel: Central hotel Elite Palace hotel

I do not wish to be accommodated in one of the proposed hotel

2°) Dinner of Monday 15 June

I wish to participate to the diner

Choice of main course: Cod Chicken Vegetarian

I do not wish to participate to the diner

Please mention any food requirement (vegetarian, allergies…):