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.