Organization for Security and Co-operation in Europe
The Secretariat
	            Vienna,   June 2012

20th OSCE Economic and Environmental Forum 
Concluding Meeting   

Prague, 12 - 14 September 2012

REGISTRATION FORM  
Deadline: 1 September 2012

Please send this registration form to Ms. Iveta Dzurikova, OSCE Prague Office,
email: iveta.dzurikova@osce.org, FAX: +420-233 085 487, Tel: +420-233 085 473
(Please fill in by using capital letters)

1.Country represented:		

2. (Please indicate the category you register in) 
	 OSCE Delegation (in Vienna)                Government Official: 
                                                                     MFA 
                                                                     other Ministry or public Institution
                                                                     Embassy in Prague                                                         

 International Organization                      OSCE Field Presence
 Non Governmental Organization            OSCE Institution
 Academic  Community                           OSCE Secretariat
 Business Community               	
	 Mr.     Ms. 	
3.  First Name		
4.  Family/Last Name		
5.  Position/Title		
6.  Organization 		
7.  Department 		
8.  City/Country		
9.  Email		
10. Phone:
      Mobile:	Fax:	
11. Social events	I will take part in the Reception on Wednesday,  12 Sept. 12, 18:30 h       Yes   No    
I will take part in the Reception on Thursday,     13 Sept. 12, 18:30 h       Yes   No   	
12. TRAVEL INFORMATION	
Arrival to Prague	Date:                           Time:                   Flight Number:           Train:
	
Departure from Prague
	Date:                           Time:                   Flight Number:           Train:	
Hotel in Prague		
13. Have you participated in the 1st Preparatory Meeting/20th EEF, Vienna, 7-8 February 2012?          Yes        No 
      Have you participated in the 2nd Preparatory Meeting/20th EEF, Dublin, 23-24 April 2012?           Yes        No    	

(*) Delegations: are kindly requested to add to the registrations of their members (above form) a notification clearly indicating the special ranking and title of their members and possibly submit it electronically.