ICC MOOT COURT COMPETITION 2017 | Registrat

University

Street

Postal Code

City

IMPORTANT:
* Please note that above details will be used for and on your invoice.
* The contact person will be the team representative. He/she will receive all important informatio

First Name

Surname

D.O.B.

Passport #

IMPORTANT:
* Please use correct capitalization.
* Make sure you spell your name correctly. This is how your name will appear on your name ta
* Only digitally completed forms will be accepted.
* If the number of Team Representatives participating in the Oral Round of the Competition excee
* The amount of Team Representatives may never exceed seven (7) at any moment in the Compet

017 | Registration
Country

Telephone #

Name Contact Person

Gender

E-mail

ve all important information.

Nationality

ill appear on your name tag, name plate and certificate.

d of the Competition exceeds five (5) (including Researchers, Coaches, and Assistant Coaches), an extra fee
any moment in the Competition. This number includes the 'Online Coach'.

Email Contact Person

Phone #

Coaches, and Assistant Coaches), an extra fee of 150,00 per person will be charged.
ine Coach'.

Name and email Contact Person Invoice (if other than Contact Person)

Role
Leading Coach
Assistant Coach
Speaker I
Speaker II
Speaker III
Researcher I
ResearcherII

s), an extra fee of 150,00 per person will be charged.

Needs Online Coach?

Coming to The Hague?

Yes
Yes
Yes