PARTICIPATION FORM
INTERNATIONAL CONFERENCE ON TOURISM AND SPORTS

Da Nang City, Viet Nam, 23-26 September 2016

Please return this Form not later than 09th September 2016 to:

Ms. Tran Thuy Linh and Ms. Bui Lan Chi
Project Assistants
Vietnam National Administration of Tourism
Ministry of Culture, Sports and Tourism
80 Quan Su, Ha Noi, Viet Nam
Tel: (+84 4) 39423760/ext.122/123
Fax: (+84 4) 39424115/39426860
Email:
Email:
Ms. Christine Brew
Senior Programme Assistance
Regional Programme for Asia and the Pacific
World Tourism Organization (UNWTO)
Capitan Haya 42
Madrid 28020, Spain
Tel: (+34 91) 567 8172/1
Fax: (+34 91) 571 37 33
E-mail:

HEAD OF DELEGATION’S DETAILS

¨ Country/Territory

¨ Organization

¨ Surname (Mr. / Ms.)

¨ First name

¨ Official title

¨ Present Nationality ……………………………………………………. Past Nationality……………………………………

¨ Date of birth ………………………………………………………………Place of birth……………………………………….

¨  Passport No. ……………………Place of Issue ……..…………Date of issue……………...Expiry Date……………..

¨  Visa support requirement (Yes No)

¨ Full address

City and Country ……………………………………………………………. Post code

Telephone / Fax (country code, area code, tel. number)

E-mail

ACCOMPANYING PERSON/S

¨ Surname (Mr. /Ms.)

¨ First name

¨ Present Nationality ……………………………………………………. Past Nationality……………………………………

¨ Date of birth ………………………………………………………………Place of birth……………………………………….

¨  Visa support requirement (Yes No)

¨ Full address

City and Country ……………………………………………………………. Post code

TRAVEL DETAILS

Date of arrival to Da Nang / Date of departure from Da Nang
Trip originated at
Date of departure
Flight No.
Connecting city/cities
Connecting flight(s) no.
Time of arrival in Da Nang / Destination ......
Connecting city/cities......
Flight No......
Time of departure from Da Nang......

ACCOMMODATION

The host country has identified the following hotels with a discounted rate. All prices include buffet breakfast, 10% VAT and 5% service charge. Please select your hotel.

Delegates are requested to make personal reservation directly to the hotel no later than 09th September 2016.

Please tick Ö / Hotel / Room type / Discounted rate
Novotel Danang Premier Han River Hotel (Official venue)
- Add: 36 Bach Dang Street, Hai Chau District,Da Nang City
- http://www.novotel-danang-premier.com/
- Contact person: Ms. Nguyen Ngoc Minh Vy; Tel: 84 935408115
- Email: / Superior (Twin/double) / 110
Excutive / 155 USD
Suite / 230 USD
Please tick Ö / Hotel / Room type / Single / Double/
twin
Northern Hotel Danang (4 star hotel)
- Add: No 119, 3/2 Street, Hai Chau District, Da Nang City
- Web: www.northernhotel.com.vn
- Contact person: Ms. Le Anh Tu Quyen
- Email:
- Tel: 84 905 079 878; Fax: (84-0511) 3861 869
5 minutes to Official Venue by taxi / Superior City View / 50 / 60
Deluxe / 60 / 70
Premier Deluxe / 70 / 80
Studio Suite / 100 / 110
North Suite / 120 / 130
Please tick Ö / Hotel / Room type / Discounted rate
Danang Han River Hotel (3 star hotel)
- Address: No 14, Ly Tu Trong Street, Da Nang City
- http://songhanhotel.com.vn
- Contact person: Mr. Huynh Le Duc Hop; Tel: 84 984846261
- Email:
- Skype/Yahoo: huynhhop89
5 minutes to Official Venue by walk / Superior Single/Twin/Double / 35
Deluxe
Single/Twin/Double / 65

MEDICAL AND EMERGENCY INFORMATION

1. Medical information (Please note any medical conditions or any current prescribed medication that you are taking which the secretariat office should be aware of)

+Special Meal Request: (Please choose below)

Vegetarian

No Beef

No Pork

Halal

Other: No dairy/ No wheat

2. Emergency information:......

ACTIVITIES

Will participate in:

a)  International Conference on Tourism and Sports (24th September)

b)  Welcome Reception hosted by the Minister of Culture, Sports and Tourism (evening of 23rd September)

c)  Opening Ceremony of the 5th Asian Beach Game with reception dinner (evening of 24th September)

d)  Complimentary technical tour (whole day of 25th September)

/ Please tick:
Yes: No:
Yes: No:
Yes: No:
Option 1 Option 2