Last Name(s) (according to passport): Sex: All First Names (according to passport): Date of Birth (DD/MM/YEAR): Address: Postal/ZIP Code: City: Country: Nationality: Phone: Fax: E-mail: ******************************************************************************************************************************************************* If you are a member of an organization working on international subjects please fill in: Organization: Adress: Postal/ZIP Code: City: Country: Phone: Fax: Your function: E-mail: www: ******************************************************************************************************************************************************* Please choose committee and country positions (see button "ISSUES") and note that
you are not allowed to represent the country of your origin.
1st choice committee: country: 2nd choice committee: country: 3rd choice committee: country: ******************************************************************************************************************************************************* 1. Why do you want to participate at VIMUN? (max. 100 words): 2. Describe the reasons for your choice of committee and country for VIMUN (max. 100 words): 3a. Briefly describe the country position/interests in relation to your 1st choice committee (max. 100 words): 3b. Briefly describe the country position/interests in relation to your 2nd choice committee (max. 100 words): 3c. Briefly describe the country position/interests in relation to your 3rd choice committee (max. 100 words): 4. What academic/organizational work are you involved in that would be helpful for participation at VIMUN? (max 100 words): 5. Briefly describe your educational background (max. 100 words): 6. List of Model UNs/events you have participated in that would be relevant for VIMUN: 7. How did you hear about VIMUN (eg. Facebook, Flyer, e-Mail, personal contact etc.)?:
******************************************************************************************************************************************************* Payment "Yes" or "No" regular conference fee ............................................... 190,00 EUR (excl. transfer com.) "Yes" or "No" conference fee for members of the UNYSA-AUSTRIA - AFA, VIMUN or HISTOMUN "Veterans") or members of a delegation of at least 5 persons
.......................................................................................................... 170,00 EUR (excl. transfer com.)
Name of the Head Delegate: "Yes" or "No" I wish to stay in a double room at the hotel "Park Inn" during the entire period of the conference (4 nights = arriving on 5 August - departing on 9 August).
The hotel fee per person is .................................................................... 212,00 EUR (excl. transfer com.)
In case if you have a favourite room mate please indicate his/her name:
"Yes" or "No" I wish to stay in a single room at the hotel "Park Inn" during the entire period of the conference (4 nights = arriving on 5 August - departing on 9 August).
The hotel fee is .................................................................................... 360,00 EUR (excl. transfer com.)
"Yes" or "No" I wish to stay longer than 4 nights at the hotel "Park Inn". If "Yes" please do not forget to fill in the exact date of your arrival and departure below!
The fee for one additional night per person is 53,00 EUR in a double or 90,00 EUR in a single room. Please contact me for individual arrangements.
Day of arrival: Day of departure:
I understand that the UNYSA-AUSTRIA - AFA is not responsible for any personal fees charged at the hotel and that in case of cancellation of my registration after 30 June 2012 I will have to pay the full conference and hotel fee. "Yes" or "No" I have applied for financial aid and I sent a mail to the VIMUN Secretary General (vimun@afa.at). "Yes" or "No" I declare to transfer the amount of the conference fee of : + the hotel fee of to: ERSTE BANK, Graben 21, A-1010 VIENNA, SWIFT: GIBAATWW, IBAN: AT912011131002405788, Routing Code 20111, Account No.: 31002405788 or I will send a cheque to your address. I understand that the payment must be transferred to the UNYSA-AUSTRIA - AFA as soon as my registration is confirmed by the VIMUN Secretariat. If I want to pay in USD I have to contact my bank for the rate of exchange. "Yes" or "No" I need a visa for entering the territory of the European Union. (Please mail a digital copy of your passport and respect the deadline for registration of 31 May 2012.) By signing and sending this form I declare to participate at the conference. I have read the conditions of the conference and agree with all conditions and services which are included in the fees. I know that all travel and other expenses have to be covered by myself.