LMI Policy Dialogue April 2019 (Bangkok, Thailand)

Lower Mekong Initiative

Policy Dialogue

9-10 April 2019

Bangkok, Thailand

Please fill out the Registration Form below by 25 March 2019. If you have questions, please contact LMImeeting@meridian.org.

PART I: BACKGROUND INFORMATION

Please answer all questions in English.

PERSONAL INFORMATION

Prefix *

First Name: *

Last Name: *

Delegation *

Email address *

Telephone (include country code) *

Job Title *

Bureau/Office *

Organization/Ministry *

Street Address Line 1 *

Street Address Line 2

Street Address Line 3

City *

Province

Postal Code

Country *

Allergies or Dietary Restrictions (if any)

Special Accommodations (if any)

PART II: TRAVEL INFORMATION

**For Lower Mekong Country Sponsored Delegates Only**

Date of Birth (YYYY-MM-DD) +

Gender

Passport Number

Passport expiration date

Passport Issuing Country

Meridian will arrange round-trip economy class air travel to Bangkok, departing from your home city one day prior to the event, and returning one day after the event ends. Please let us know your city of departure and upload a copy of the biographical page of your passport so we can ensure your ticket is correct. Please note that we are not able to make flight changes once tickets have been issued.

Home Departure City (to Bangkok)

Return City (from Bangkok)

Preferred Departure Time

Preferred Return Time

Additional Comments:

Please upload a copy of the biographical page of your passport.

PART III: Travel Information

**For Unsponsored Delegates Only**

You are responsible for arranging your own flight, ground transportation, and hotel in Bangkok. If you wish to have Meridian book a room at the Renaissance Ratchaprasong Hotel on your behalf, please contact LMImeeting@meridian.org.

PART IV: Emergency Contact Information

Emergency Contact Name *

Relationship To You *

Emergency Contact Telephone (Please include country code) *

Emergency Contact Email *

PART V: Meals and Incidentals

Meridian will provide a stipend for transportation and for meals not covered by the workshop. The meal stipend will be calculated using the U.S. Government per diem rate for Bangkok, Thailand. Funds will be transferred through Western Union and each participant will be sent a confirmation code for picking up funds in their home country.

PART VI: Pre-Workshop Survey

Is the material in this workshop relevant or not relevant to you in your job? *

Do you think your country’s enabling environment (laws, regulations, policies) related to the subject of this workshop is effective or not effective? *

How often do you coordinate with regional counterparts from other countries on the subjects of this workshop? *

How much do you know about the topics being presented at this workshop? *

Have you ever participated in an LMI meeting, training, or workshop (such as TCTP)? *

If you answered yes to the last question, please provide the event title that you have previously attended? *

Which of the following would you consider is the main reason you are attending this meeting? *