International Geological Correlation Programme (IUGS/UNESCO-IGCP)

IGCP/SIDA Project 594 - Assessment of impacts of mining and mineral processing on the environment and human health in Africa

REGISTRATION AND HOTEL RESERVATION FORM

Annual Workshop of the IGCP Project 594

Environmental and Health Impacts of Mining in Africa

Windhoek, Namibia, July 5th-6th, 2012

Please fill in and send by e-mail to Benjamin Mapani, University of Namibia, Windhoek (;

) or register on line at http://www.geology.cz/igcp594

College degree: /
First Name: /
Family Name: /
Institution: /
Street/No: /
Town: /
ZIP Code: /
Country: /
E-mail: /
Fax: /
Phone: /
REGISTRATION FEE
WORKSHOP MEMBER / USD 40
ACCOMPANYING PERSON / USD 30
STUDENT / USD 10

Registration fee includes Workshop Programme, List of Participants, Workshop Proceedings (in electronic form), coffee breaks and lunches.

FIELD TRIP FEE
FIELD TRIP FEE (transport, accommodation, lunch and refreshment) / USD 800

Maximum number of participants: 15

For Field Trip participants only: Please, fill in your Passport Number:

PASSPORT No.
ACCOMMODATION
DATE OF YOUR ARRIVAL (d/m/y) /
DATE OF YOUR DEPARTURE (d/m/y) /
TOTAL NUMBER OF NIGHTS /
NUMBER OF PERSONS /

For participants from outside Namibia: Please let us kindly know the date, time and flight number of your arrival at Windhoek International Airport, Namibia.

HOTEL RESERVATION FORM

Participants can choose hotels close to the Conference Venue if they make their own arrangements. Also check out the website http://www.namibian.org/travel/lodging/windhoek_accommodation.html

For bargain accommodation the website link given is a good start.

These are the hotels close to the Conference Venue:

Name of the Hotel / Approximate cost for single boarding per night (N$) / Appropriate cost for single boarding per night (USD)
SAFARI HOTEL / 900 / 115
SAFARI COURT HOTEL / 1500 / 192
AREBUSCH LODGE (self catering available) / 780 / 100
ALOE TRAVEL LODGE / 600 / 77
WINDHOEK LODGE / 600 / 77
CASA BLANCA / 700 / 90

Only those who would like their accommodation to be booked by the Organizing

Committee should add the corresponding one-day-in-advance payment to the table below

Summary of your payments (please fill in)

REGISTRATION / USD
POST-WORKSHOP FIELD TRIP / USD
ACCOMMODATION (ONE-DAY IN-ADVANCE PAYMENT)
SAFARI HOTEL / USD
SAFARI COURT HOTEL / USD
AREBUSCH LODGE / USD
ALOE TRAVEL LODGE / USD
WINDHOEK LODGE / USD
CASA BLANCA / USD
TOTAL PER PERSON / USD

Please note: No hotel reservation will be made without the corresponding one-day in-advance payment. We strongly recommend you to send us the REGISTRATION AND THE HOTEL REGISTRATION FORM together with the payment as soon as possible

Please note that deadline for Registration Fee and for One-day in-advance Hotel Payment is June 10th, 2012. All payments should be made in US Dollars and Euros only.
Payment by Electronic Bank Transfer to:
Full bank name: FIRST NATIONAL BANK
Full bank address: INDEPENDENCE AVENUE, MAIN BRANCH
Bank Country: Namibia
Bank code: 281-872
SWIFT code: FIRNNANX
IBAN code: 281872-555 000 57621
Account Number: 555-000-57621
Account holder name: University of Namibia
Account currency: USD/EURO
Additional banking information: REF: 0058-5222
Message for recipient: IGCP594, YOUR NAME
Please Include a reference code of: 0058-5222
Or else it will difficult to trace your payment.
Cheques to be made payable to: University of Namibia-Geology Dept.
Payments by Credit Cards are not accepted
Once the payment has been made, please fax or e-mail proof of your payment to: Benjamin Mapani, University of Namibia (; ); Fax: +264-61-2063791. Organizers will confirm your payment.

Bank charges are to be paid by the customer.

Cancellation and Refund Policy: In case of a written cancellation earlier than 20 days before the event, the payment will be refunded. After that date no refund will be possible.