Nomination Form of the Training Course XXXXXXXXXXX

(Return by August 21st, 2019)

Prefix (Please check one.) ☐Mr ☐Ms ☐Dr

First Name (Given name)

Middle Name
☐ I do not have one.
Last Name(s) (Family names)

Official position/title

Ministry/Agency/Laboratory

Office address

E-mail address (Office)

Phone No. (Office)

Fax No. (Office)

Official Passport No.
Please send a digital copy of the ID page of your official passport with this
nomination form if you have been already an official passport holder. If you
are not a holder, please ask the person in charge in your office to issue an
official passport.
Please tell us the reason in case it is not issued. Send a digital copy of the ID
page of your normal passport.

Nationals of Lao PDR

Official passport holders don’t require visas.
Normal passport holders REQUIRE visa.
Nationals of Philippines
Both official passport holders and normal passport holders REQUIRE visas.

Supervisor’s Name and Title

Emergency Contact Name
Emergency Contact Phone
Bank Account
(for transferring daily
allowances after the training
course)
Accommodation (TBD)
(Please check one.)
Travel Information
Meal preferences
(Please check one.)
(1) Bank account holder’s name:
(2) Bank account number:
(3) Bank account holder’s address:
(4) SWIFT (BIC) code (8 digits):
(5) Bank name:
(6) The branch name (if any, where you opened your account):
(7) The address of either bank or branch:
☐Non-smoking / ☐Smoking (Please note that smoking rooms are not
always available due to the limited number.)
Closest Airport Name:
Airplane Seating Preference (Please check one.) ☐ window / ☐ aisle
☐Vegetable / ☐Non-vegetable
If you have other important meal preferences or restrictions, please specify
the below.
Previous Codex Committee ☐ yes / ☐ no
and/or Codex Commission If yes, please specify the meetings.
Meeting Experience
(Please check one.)
What are your expectations of
this training course?

What do you hope to gain by

participating in the training
course?

Please give a brief description

about your academic
background and work
experiences