You are on page 1of 8

UN Human Rights Council

Delegate Subcommitee on Prevention of Torture


Application Form 13th session

Geneva, Switzerland

21-25 February 2011

Part 1: Personal Information

1. Contact Information

Name

Home Address

Phone

Fax

E-mail

Date of Birth (dd-mm-yyyy)

Nationality

Passport #

Gender

ELSA Group

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
2. Contact Person in Case of Emergency

Name

Phone

Fax

E-mail

Part 2: Personal Resume

1. Education

2. Working Experience

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
3. Language Skills

4. Internships

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
5. Extracurricular Activities

6. Membership

Part: 3 ELSA Resume

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
1. Positions in ELSA

Position Date ELSA Group

2. ELSA Events Attended

Title Date ELSA Group

3. Organisation of ELSA Events

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
Title Date ELSA Group

4. Participation in Events of Institutions as ELSA Delegate

Title Date ELSA Group

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
Letter of Motivation

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom
Are you willing to be head of delegation (please tick the box below)

Yes □ No □

Options

Please state any particular information ELSA International may require (allergies, food
requirements, other options, etc.):

Please add your surname at the end of the name of the application form without changing the
actual name of the file. Copy this final name of the application form to the subject of your e-
mail. For example: “AF_HRC_Torture_13_kilinc.doc”

Please send this to ELSA International,


239, Boulevard Général Jacques, B-1050 Brussels, Belgium
Tel: + 32 2 646 26 26; Fax: + 32 2 646 29 23;
Email: delegations@elsa.org

DEADLINE: 3rd January 2011, 6.00 p.m. CET

Albania • Armenia • Austria • Azerbaijan • Belgium • Bosnia and Herzegovina • Bulgaria • Croatia • Czech Republic • Denmark • Estonia • Finland • France • Germany • Georgia • Greece • Hungary • Iceland •
Italy • Kazakhstan • Latvia • Lithuania • Luxembourg • Malta • Montenegro • The Netherlands • Norway • Poland • Portugal • Republic of Macedonia • Romania • Russian Federation • Serbia • Slovak Republic •
Slovenia • Spain • Sweden • Switzerland • Turkey • Ukraine • United Kingdom

You might also like