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RIDEF 2016 IN BENIN - Registration form

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RIDEF 2016 IN BENIN
 
Card of enrollment
It is necessary to really read the card before filling it
 
IDENTIFICATION
 
M. Mrs.
 
name
 
first name
 
age
 
Sex
 
address
 
area code
 
Nationality
 
city
 
country
 
FIMEM movement of adherence
 
E-mail (for the confirmation)
 
You will be written down after the payment of all entry fees
 
 
LODGING AND RESTORATION
 
Lodging to the ENi (Normal School of the Teachers)
 
room to superimposed 2 beds
 
Name of the person sharing the room with me
 
Hotels in city in Dogbo:
 
room to a double bed (one or 2 people by bed. )
 
Hotels outside of Dogbo for those that want it (Lokossa, Djakotomey, Azové): (16 to 65 euros of supplement per day according to the status of the hotel).
 
Special conditions for the hébergement:ex: reduced mobility...
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Special conditions for the restoration: vegetarian ex:repas - allergies...
 
Accompanying children: and/or accompanying adults (ex: conjoined).
 
Name, first names, ages - sleeping with me
 
Name, First names, ages - sleeping to part
 
Other:
 
TREASURY
 
Member country of one of the movements of the FIMEM
 
 
 
No one country A to adult lodged at the hotel: 450 euros
 
No one country A lodged to the ENI: 400 euros
 
No one country  B adult  lodged at the hotel: 400 euros
 
No one  country B lodged to the ENI: 320 euros
 
No one country adult C lodged at the hotel: 400 euros
 
No one country adult C lodged to the ENI: 250 euros
 
Country non member of the FIMEM
 
No one country A to adult lodged at the hotel: 500 euros
 
No one country A adult lodged to the ENI: 450 euros
 
no one country adult B lodged at the hotel: 420 euros
 
No one country adult B lodged to the ENI: 340 euros
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Enfant/adolescent (3 to 18 years): 220 euros
 
Supplementary night before or after the Ridef
 
ENI: 28 euros
 
Hotel: 40 euros
 
 
 
 
I offer a contribution voluntary of solidarity of………. euros
 
 FASHION OF PAYMENT
 
I send the money of my enrollment with the one of my spouse, my children or my colleagues if there is lieu.Préciser the names and first names.
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Payment in two possible times: first payment limits end of March 2016 and second payment limits June 15, 2016

For Europe: by transfer on the account of the FIMEM-RIDEF BÉNIN
IBAN: FR7610278361950001117560232
RIB: 10278361950001117560232
BIC: CMCIFR2ADomiciliation of the bank: CCM 14bis Rue Talensac 44000 Nantes
 
By check to the accountant's address: François Perdrial 39 Rue Jean Emile Laboureur44000 Nantes (to the back of the check mention "Ridef Benin"
 
For Africa, America and Asia on the account ABEM Ridef Benin
IBAN: BJ66BJ6611300200770926000976
Domiciliation: Bank of Africa BP 182 Lokossas (Benin)
 
 
 
MY INVOLVEMENT
 
language of origin
 
other spoken languages
 
other included languages
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I am available to make ORAL translations / WRITTEN if need be.
 
 Shops
 Animation of a long shop in consistency with the theme of the ridef "The education to the citizenship for a participating democracy" to see card long shop TO COMING
 
Animation of a shop runs the afternoon (1h30 / 3h / 6h on 2 after-noons) to See card short shop TO COMING
 
 Exhibitions
 
Theme of my exhibition
 
Material and necessary surface
 
 
 
VISA
 I need an invitation letter YES / NO
 
TRANSPORTATION
 
 Place, date and hour of arrival to the road station
 
Date and hour of arrival to the airport of Cotonou (flight n° company)
 
Date and outgoing hour of the airport of Cotonou
 TOURISM
 
I would like to make a pre-ridef of 3 days / 2 nights in a family (to see the Pre-Ridef card )
 
I would like to make a post-ridef of 4 days /3 nights to discover the north of the country. (to see the card..)
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I would like to make a post-ridef of 4 days /3 nights in a family. (to see the card.. )
 
 
AttachmentSize
inscription francais59 KB
registration form51.5 KB
inscripcion espagnol52.5 KB
Scheda di iscrizione 48.12 KB