Debt Management Stakeholders' Forum - 2017

BORROW WITHOUT SORROW: Prudent Debt Managment in a Volatile Global Economy

Please complete this online registration form.

If you have any questions regarding registration, please contact Ms. Oumi Himid at uhimid@worldbank.org

If you have any technical problems with this registration form, please contact Mr. Mark Volk at mvolk@worldbank.org

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* 1. Please select your preferred SALUTATION

Dr.

Mr.

Mrs.

Ms.

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* 2. Please enter your FULL NAME (Last, first, middle initial) as it appears on your passport

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* 3. Please enter your NATIONALITY

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* 4. Please enter your POSITION/TITLE

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* 5. Please enter your DEPARTMENT

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* 6. Please enter your ORGANIZATION

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* 7. Please enter your COMPLETE MAILING ADDRESS.

Address 1:

Address 2:

Address 3:

City/State:

Country:

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* 8. Please enter your EMAIL ADDRESS.

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* 9. Please enter your TELEPHONE NUMBER.

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* 10. Please enter your MOBILE TELEPHONE NUMBER (optional).

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* 11. Will you require a visa

Yes

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* 12. If you replied "Yes" above, please enter the address where you will apply for your visa

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* 13. Do you have any DIETARY RESTRICTIONS?

Yes

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* 14. If you replied "Yes" above, please specify

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* 15. Will you attend the reception on May 22nd evening?

Yes

Not sure

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* 16. Have you or will you book a room at Hotel Zeitgeist Vienna (close proximity to the Forum venue)

Yes

Not decided