RIDEF 2016 IN BENIN

Card of enrollment

It is necessary to really read the card before filling it

IDENTIFICATION
M. Mrs.
name
first name
age
Sex
address
area code
Nationality
city
country
FIMEM movement of adherence
E-mail (for the confirmation)
You will be written down after the payment of all entry fees
LODGING AND RESTORATION
Lodging to the ENi (Normal School of the Teachers)
room to superimposed 2 beds
Name of the person sharing the room with me
Hotels in city in Dogbo:
room to a double bed (one or 2 people by bed. )
Hotels outside of Dogbo for those that want it (Lokossa, Djakotomey, Azové): (16 to 65 euros of supplement per day according to the status of the hotel).
Special conditions for the hébergement:ex: reduced mobility...
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Special conditions for the restoration: vegetarian ex:repas - allergies...
Accompanying children: and/or accompanying adults (ex: conjoined).
Name, first names, ages - sleeping with me
Name, First names, ages - sleeping to part
Other:
TREASURY
Member country of one of the movements of the FIMEM
No one country A to adult lodged at the hotel: 450 euros
No one country A lodged to the ENI: 400 euros
No one country B adult lodged at the hotel: 400 euros
No one country B lodged to the ENI: 320 euros
No one country adult C lodged at the hotel: 400 euros
No one country adult C lodged to the ENI: 250 euros
Country non member of the FIMEM
No one country A to adult lodged at the hotel: 500 euros
No one country A adult lodged to the ENI: 450 euros
no one country adult B lodged at the hotel: 420 euros
No one country adult B lodged to the ENI: 340 euros
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Enfant/adolescent (3 to 18 years): 220 euros
Supplementary night before or after the Ridef
ENI: 28 euros
Hotel: 40 euros
I offer a contribution voluntary of solidarity of………. euros
FASHION OF PAYMENT
I send the money of my enrollment with the one of my spouse, my children or my colleagues if there is lieu.Préciser the names and first names.
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Payment in two possible times: first payment limits end of March 2016 and second payment limits June 15, 2016
For Europe: by transfer on the account of the FIMEM-RIDEF BÉNIN
IBAN: FR7610278361950001117560232
RIB: 10278361950001117560232
BIC: CMCIFR2ADomiciliation of the bank: CCM 14bis Rue Talensac 44000 Nantes
By check to the accountant's address: François Perdrial 39 Rue Jean Emile Laboureur44000 Nantes (to the back of the check mention "Ridef Benin"
For Africa, America and Asia on the account ABEM Ridef Benin
IBAN: BJ66BJ6611300200770926000976
Domiciliation: Bank of Africa BP 182 Lokossas (Benin)
MY INVOLVEMENT
language of origin
other spoken languages
other included languages
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I am available to make ORAL translations / WRITTEN if need be.
Shops
Animation of a long shop in consistency with the theme of the ridef "The education to the citizenship for a participating democracy" to see card long shop TO COMING
Animation of a shop runs the afternoon (1h30 / 3h / 6h on 2 after-noons) to See card short shop TO COMING
Exhibitions
Theme of my exhibition
Material and necessary surface
VISA
I need an invitation letter YES / NO
TRANSPORTATION
Place, date and hour of arrival to the road station
Date and hour of arrival to the airport of Cotonou (flight n° company)
Date and outgoing hour of the airport of Cotonou
TOURISM
I would like to make a pre-ridef of 3 days / 2 nights in a family (to see the Pre-Ridef card TO COMING)
I would like to make a post-ridef of 4 days /3 nights to discover the north of the country. (to see the card.. TO COME)
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I would like to make a post-ridef of 4 days /3 nights in a family. (to see the card.. TO COME)