High-Level Conference 
“Strengthening the OSCE Response to Trafficking in Human Beings”  

10-11 June 2013, Kyiv
	REGISTRATION FORM (Deadline: 3 June 2013)	

Please send this registration form to Ms. Kira Spyrydonova,  
E-mail: k.spyrydonova@mfa.gov.ua  
Fax + 38 044 279 38 49; Tel. + 38 044 238 18 07
 (Please fill in using capital letters)

1. Country:		

2. Category:

(Please indicate the category you register in) 
	 International Organization                 Government Official: 
 Non Governmental Organization       OSCE Delegation in Vienna 
 Academic Community                       Ministry of Foreign Affairs
 Business  Community                  other Ministry or public Institution                                                                    OSCE Institution    OSCE Secretariat      OSCE Field Presence                                	
3.	 Mr.     Ms. :	
4. 
  	First Name:                          
Family/Last Name:	
5. Position/Title:		
6. Organization/
    Institution 		
7. Department 		
8.  City: 		
9. Email:		
10. Phone:
    Mobile:	Fax:	
11. Written Contribution/Title:      	Yes   No    	
12. TRAVEL INFORMATION: please indicate below your precise travel schedule	
Arrival to Kyiv
	Date:                     Time:                   Flight Number:	
Departure from Kyiv
	Date:                     Time:                   Flight Number:	
Hotel in Kyiv
(Name, address, phone)	
	
13. SOCIAL EVENT	I will participate in the Chairmanship Reception on 10 June 2013, 18:30:                Yes   No