December 12-15, 2008
Lucknow, India

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Registration Form

Download the Registration Form in DOC  or  PDF format or
(Print this Registration Form and Fax it at this
Number)

9th International Conference of the Chief Justices of the World
GLOBAL SYMPOSIUM: ‘Awakening Planetary Consciousness’
from 12 to 15 December 2008, Lucknow, INDIA
Form A: REGISTRATION FORM

There is no fee for registration. All you need to do is to fill this form and send to us. As soon as the Organizing Committee approves your participation, we will inform you.

Kindly note: You can participate in Global Symposium either as an observer or a presenter or workshop leader. You can highlight the option that you choose below:

Yes, I would like to participate in the Global Symposium 2008 as
    Observer (Required to fill Form A i.e. page 1 only)
    Presenter or Workshop Leader (Required to fill both Form A & Form - B i.e. both pages 1 & 2)

Title (Mr, Ms, Dr, etc.):

 

Name:

 

Designation:

 

Organization:

 

Address:

 

 

Country:

 

Name of Accompanying Person/s:

 

Tel (Incl. International Dialling Code):

 

Fax (Incl. International Dialling Code):

 

E-mail:

 

N.B.: If you require assistance for obtaining a visa, please contact the Global Symposium 2008 team at the Secretariat, World Movement for Global Democracy (WMGD), CMS, Lucknow
(Email:
symposium@wmgd.net  Tel: +91 522 2637219 (between 9.30 am and 5.30 pm IST )

Passport Details (If available, please fill below. This is required for visa-invitation purpose):

Name as in Passport:

 

Passport No.:

 

Date of Birth:

 

Date of Issue:

 

Date of Expiry:

 

Place of Issue:

 

City in your country where you will apply for visa:

 

Please note:

1. Observer need to send us only first Page (Form - A) only. Kindly send it along with your biography (250-500 words) and latest photograph as attachment.

2.  Presenter or Workshop Leader are required to send us both pages (Form - A & Form - B) duly filled along with the attachments mentioned in the Guidelines of Page 2 (Form - B).


Kindly return this form before 15th November 2008 to:

By mail:                               

Mr Shishir Srivastava
Organizing Secretary, Global Symposium and
Secretary General, World Movement for Global Democracy (WMGD)
C/o
City Montessori School (CMS)
12 Station Road, Lucknow (U.P.) – 226 001 INDIA
Phone: 0091 522 2637219 (between 9.30 am and 5.30 pm IST)

By fax: + 91 522 2638 008/ +91 522 2635 497
By email: symposium@wmgd.net

 

Form B:  Proposal for Presentation/ Workshop

I would like to propose:          Workshop            Presentation                Both
(You may choose to present either one or both and send your proposal accordingly)

Name:
Country:
Email:

Guidelines for Presenter or Workshop Leader
To actively participate at the Global Symposium 2008, you must download the Registration Form (Form A) and send it to us by email or fax.

The below mentioned items can be subsequently sent:

1.            Your Presentation / Workshop Proposal on the themes of Global Symposium in a word file.

For Paper Presentation (duration: 20 minutes)

The Presentation should not exceed 20 minutes. It should have title and a brief introduction of 250 to 300 words. You can bring your presentation in a CD. All Conference Rooms are well equipped with computers, projectors and screens.


For Workshop (duration: 75 minutes)

The duration of workshop is limited to 90 minutes and includes a 15 minute question - answer session. It should have title and a brief introduction of 250 to 300 words. You can bring your presentation in a CD. All Conference Rooms are well equipped with computers, projectors and screens. You may send your proposal for both presentation and workshops. However, we will decide according to the space available in the programme and will inform you accordingly.  

Choose your theme from the proposed themes given at www.wmgd.net/symposium

2. Your Brief Biography: (about 250 - 500 words, describing about your work and the organization that you represent). You may send us your complete CV as well.

3. Your Photograph: digital or scanned photo in JPEG or TIFF format.

Please note:
1) Your application for Presenter or Workshop Leader will be considered as complete only when we receive it with the above items.
2) Please send all the above documents on or before 15th November 2008 to:

By mail:              

Mr Shishir Srivastava
Organizing Secretary, Global Symposium and
Secretary General, World Movement for Global Democracy (WMGD)
C/o
City Montessori School (CMS)
12 Station Road, Lucknow (U.P.) – 226 001 INDIA
Phone: 0091 522 2637219 (between 9.30 am and 5.30 pm IST)

By
fax                 + 91 522 2638 008/ +91 522 2635 497
By email:   
        
symposium@wmgd.net

Organized by
World Movement for Global Democracy (WMGD)*
*an initiative of City Montessori School (CMS), Lucknow, India