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Registration form RIDEF 2016

 

                                

 

RIDEF 2016 IN BENIN

Registration form
It is necessary to read the explanations before filling

 
You must send a copy of this file  by postmail 
to François Perdrial 39 rue Jean-Emile Laboureur 44000 Nantes
or send a copy of this file by e-mail to perdrial.francois@orange.fr and also to dohou.edouard@gmail.com
The payment is sent    by the way written on this inscription file

Identification

Mr Mrs;
name:
first name:
age
Sex
address
Postal code
Nationality
city
country
Movement FIMEM membership
Email address (for confirmation)
You will be registered after payment of all registration fees

Accommodation and food:


Accommodation in ENI:
twin room (one person per bed)
Name of person sharing the room with you
City hotel in Dogbo:
single room (two places)
Hotel outside Dogbo for those who wish (Lokossa, Djakotomey, Azové): report to the booking (16 euros to 65 euros per day depending on the standard of the hotel).
Special condition for registration sent by email (before the RIDEF or on site upon arrival).
Accompanying children: and / or accompanying adults (example: spouses).
Full name, age - sleeping with you
Name, First Name, age - except sleeping
vegetarian- allergies or other food.
 

Treasury
 

Member countries of the movements of the FIMEM
Participation and accommodation in a single or shared room
 Person adult of country A accommodated at the hotel: 450 euros
 Person adult of country A housed ENI: 400 euros
Person adult of country B accommodated at the hotel: 400 euros
Country Person adult of country B housed ENI: 320 euros
Person adult of country C accommodated at the hotel: 400 euros
Person adult of country C housed ENI: 250 euros
Countries not members of the FIMEM:
Person adult of country A accommodated at the hotel: 500 euros
Person adult of country A housed ENI: 450 euros
Person adult of country B housed in the hotel: 420 euros
Person adult of country B housed ENI: 340 euros
Extra night at the place of RIDEF before or after RIDEF
Voluntary joint participation: 28 euros (concerns those going extra nights at the place of RIDEF before or after RIDEF)
Extra nights outside the place of RIDEF before or after: 40 euros
Child / Youth (3-18 years): 220 euros

Method of payment
I send money to my entry with those of my spouse and / or child (please specify) or colleagues (specify full names)
For Europe: by transfer to the account of the FIMEM-RIDEF BENIN
IBAN: FR7610278072430002052580394
RIB: 10278072430002052580394
BIC: CMCIFR2A
Domicile of the bank: CCM 8 rue Colette 69800 Saint-Priest
By check to the address book: François Perdrial 39 rue Jean-Emile Laboureur44000 Nantes (check the back of the mention "RIDEF Benin"
For Africa, America and Asia on behalf ABEM RIDEF Benin
IBAN: BJ66BJ6611300200770926000976
Domicile: Bank of Africa BP 182 Lokossa (Benin)
Payment in two installments as possible: first payment limit late March 2016 and the second payment limit end June 2016
 

My participation:
 

original language
Other languages ​​spoken
Other languages ​​included
Animation of a long workshop (specify the theme to be developed) in line with the theme of the RIDEF "citizenship education for a participatory democracy"
Animation of a short workshop (specify the theme to be developed) or not consistent with the theme of the RIDEF in the afternoons (1h30 to 2h) "citizenship education for a participatory democracy"
supply of materials for exhibition
on paper
in a digital format
document to be completed - download
Other equipment for workshop facilitation to clarify
Invitation letter for visa or other documents for
paperwork.
 

Transportation:

Means of transport on site to be define with the the organizers
Need help arriving from:
Desired date of arrival in Cotonou airport (flight No company)
Date required from Cotonou airport
I would like to pre-RIDEF 3 days before (in the north: expected 100 euros, in the south: provide 50 euros).
I would make a post-RIDEF 5 days (in the north: expected 100 euros, in the south: provide 50 euros).
 
 
 
 
 

 

AttachmentSize
fiche d'inscription en anglais21.45 KB
Scheda di iscrizione43.73 KB
Fiche inscription RIDEF 201660.62 KB