Jericho, Occupied Palestinian Territory : 5-9 March 2012 - Core Training and Thematic Workshop Application Form

Core Training on International Humanitarian Law and Policy: 5-7 March 2012

Thematic Workshop on Occupation Law:
8-9 March 2012 (completion of a Core Training is required prior to attending a Thematic Workshop)

Please indicate to which training(s) you wish to apply:

Core Training on Humanitarian Law and Policy: 5-7 March 2012

Thematic Workshop on Occupation Law: 8-9 March 2012

How did you learn about your selected training(s)?

Through PHAP email

Through Reliefweb

Through a previous training participant

Through my organization

Other (please indicate): Other (please indicate):

Individual prefix *

First name *

Middle name

Last name *

Individual suffix

Email address (primary) *

Email address (other)

Phone (Primary) *

Phone (Other)

Current employer *

Job title *

UN professional rank (if applicable)

Country/ territory primarily based in *

Country(ies)/ territory(ies) of professional experience *

Total years of professional experience *

Years of professional experience related to humanitarian action *

Briefly describe your professional experience as related to international humanitarian law and policy *

Language(s) in which you have professional fluency *

Any other languages in which you have professional fluency

Please upload your CV *

Citizenship(s) *

Gender *

Female

Male

Year of birth *

I understand that I am simultaneously applying for participation in a training event organized by PHAP and for membership in PHAP. I have reviewed the Membership Benefits and Dues and I agree with the Bylaws of PHAP (see official Bylaws in French or the unofficial English translation). *

Yes

In the event that your application is accepted, we will ask you to re-confirm your interest in attending the training, and then we will send you two invoices: one for your Course Fee and another for your Membership Dues (for a one-year membership, renewable annually according to your preference).

Please indicate the billing address for your Course Fee invoice:

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Billing Address: Street Name and Number *

City *

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Country *

Billing Contact Phone (if different from yours above)

Billing Contact Email Address (if different from yours above)

In case you would like us to use a different billing address for your Membership Dues, please fill it in below (otherwise, leave blank):

Name of billing contact (if not yourself)

Orgnization to be billed (if applicable)

Billing Address: Street Name and Number

City

State/ Province/ Region

Zip/ Postal Code

Country

Billing Contact Phone (if different from yours above)

Billing Contact Email Address (if different from yours above)