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  • 8/9/2019 Application Form Summer School

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    Summer School

    1st-8th of August 2010, Lisbon

    Summer School Application No ______ (OfficeUse)Application Form

    Participant Details

    Name _____________________ Surname ______________________

    Date of Birth _ _/_ _/ _ _ Sex: Male/Female

    Address________________________________________________________________________

    City _________________________ Country _________________ Post Code_____________

    Telephone Number _________________ (Mobile Number)_________________

    Email Address ________________________________________________

    ID Card No ________________________

    Passport Number________________________Passport Date of Issue ___________________Passport Expiry Date_____________________

    Do you need a visa to enter Portugal? __________

    Other Information:

    Are you a vegetarian? Y/N

    Do you have any other food requirements?____________________________________________

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    Do you have any allergies/medical conditions?___________________________________________________________

    Please include any other special requirements you might have here.____________________________________________________________

    Travelling Information

    Arrival Flight Number ______________________

    Date of Arrival ____________________________

    Time of Arrival ____________________________

    Departure Flight Number _____________________

    Date of Departure ___________________________

    Time of Departure ___________________________

    Number of Extra Nights _______________________ (please, put the extranights dates)

    FEE Costs (Please tick your type)Favored 27/day (Includes: course, Hotel and meals) __

    Non Favored 31 /day (Includes: course, Hotel and meals) __

    ELS 35 /day (Includes: course, Hotel and meals) __

    Others (non ELSA members) __

    370 (course, Hotel and meals)

    Or

    150 (Meals, coffee breaks, working materials and study visit)

    Additional Costs (Please tick if yes)

    Transportation fee (10) __

    Social Program (20) __

    Sightseeing (15)__

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    Gala Ball (35)__

    Materials (17)__

    Disclaimer:I, _____________________________________ (name), confirm that all thedetails stated above are correct and true. I am aware that aftersending my application and after the deadline on 15th June I will notbe able to withdraw my application, therefore I will be obliged to paythe entire fee for the ICM.

    Signature: ____________________________

    DEADLINE FOR APPLICATIONS :15 June 2010

    Terms and conditions:This Application Form is considered to be a formal offer of the participant.The confirmation (e-mail) of ELSA UCP Lisboa is considered to be a formaladoption of the participant's offer and leads to the conclusion of contractbetween the participant and ELSA UCP Lisboa.

    Payment information:After applying at LEGAL CHALLENGES ON ENVIRONMENTAL LAW SUMMER SCHOOL the participant will receive a confirmation email and aninvoice about the FEE. Then, the participant should do the payment andsend (in five days) its copy by e-mail to the organization to:[email protected]

    Cancelation policy:Cancellation until 15th (23:59h) June Money restitutionCancellation after 15th June No money restitution

    MiscellaneousAll participants must have valid insurance during his/her stay.All participants takes part on the summer school on his/her own risk.All damages must be paid by the participant which is caused by his/hernegligence or intent.

    CERTIFICATION:

    The participant is entitled to receive a certificate signed by ELSA

    UCP Lisboa and Faculty of Law, Catholic University of Portugal with

    the completion of the course program.

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    The participants will not receive a certificate in case of consistently

    delays and absence from classes.