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Educational in service training - VSKO
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Dear participant,

Thank you for your interest in our international courses. This form is the only way to subscribe. When you receive our confirmation, your registration is completed.

Kind regards,

The conference organisers

1. Surname:
Nick Kaperoniz
2. (first) name (as mentioned on your passport):
John Too
3. Gender:
Male
4. Date of birth:
7/6/1980
5. Organisation (name and number for Flemish schools):
Kaperoniz Enterprise
6.  Street and number:
SEO KINGS
7. Postal code & city:
Kapz
8. Country:
John
9. Function in the organisation / profession:
Nick too
10. Contact e-mail:
Nick@kaps.com
11. Contact e-mail again for verification:
Nick@kaps.com
12. Name and address to be mentioned on the invoice:
13. Special diet?:
No
13.a. If you have a special diet, please indicate which one::
13.b. If you have special requirements, please mention them here.:
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14. Date of arrival:
4/7/2018
15. Date of departure:
4/15/2018
16. I want to stay in:
a single room
17. I confirm my registration. (Go to the top and press Save and close):
Yes
 
Created at 8/5/2019 1:11 PM by ***
Last modified at 8/5/2019 1:11 PM by ***