Dear all,
As my previous post regarding application form of text version made by
WSIS organizer had iso-2022jp character set, someone may not read
it. So I change the cahracter set to ascii as follows.
best regards,
toshi
((((((((((^0^)))))))))
toshimaru ogura
ogr@nsknet.or.jp
toshi@jca.apc.org
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The Asian Regional Conference for the World Summit on the
Information Society (Tokyo, 13-15 January 2003)
Registration form for NGOs and Civil Society entities
i To be returned to the Registration Team, Secretariat of the Asian
Regional Conference for WSISregist@soumu.go.jp FAX: + 81 3 5216 5552
Organization Name
Which of the following categories does your organization belong to ?Check
the box (Two or more selections are possible.)
_ Schools&Universities
_ Local Authorities
_ Media
_ Youth
_ Women
_ Community-based Organizations
_ Trade unions
_ Advocacy group
_ Science and Technology Community
_ Art
_ Professional Associations
_ Other
Are you a non-profit organization?
_ YES _ NO
A rief outline of your organization's aims and activities.(Attach an
additional page,if necessary).
Recent Activities in Asia.. .(Attach an additional page, if necessary).
Complete address of the organization:
Website address
Accreditation Status with the United Nations
Does your organization have consultative status with ECOSOC?
_ YES _ NO
Did your organization receive provisional accreditation for Prepcom 1?
_ YES _ NO
Is your organization a Sector Member of the International
Telecommunication Union?
_ YES _ NO
Information about Delegates and logistics
Number of persons (max.5 per Organization)
Delegate 1
Mr. Ms. Dr. Prof. Others ->please specify_______________________
Family name: First name:
Title:
Tel:
Fax:
E-mail:
Date: ___________________________ Signature:
Delegate 2
Mr. Ms. Dr. Prof. Others ->please specify_______________________
Family name: First name:
Title:
Tel:
Fax:
E-mail:
Date: ___________________________ Signature:
* Please copy this form if you have another delegate
About fellowship
Does your organization hope the felloship for the participation of
this WSIS Asian Regional Conference? Check the box
_ YES _ NO
* The deadline of the applcation of this felloship is December 8. Please
observe the deadline strictly! For details about the felloship please
look the web page
* When necessary,additional question will be asked.