Hereby I would like to register for the MTBVAC in Newborns meeting in Madagascar from 15-19 May 2023

Name*

First Last

Gender*

Name of organisation*

Address*

Street Address City Country

Email address*

Do you need a shuttle service from airport to the hotel near the airport in Antananarivo on 14th May*

Do you need a hotel room near the airport of Antananarivo for the night of 14th May*

Expected day of arrival in Manjarano Lodge - Andasibe

Expected day of departure from Manjarano Lodge - Andasibe

Total number of nights

Visa invitation letter*

Passport number (only when you need an invitation letter)

Flight details - to Antananarivo (flightnr. - day - time)

Flight details from Antananarivo (flightnr. - day - time)

Special diet requirements*

Diet details

Other special wishes (accompanying partner, more extra nights, etc) can be mentioned here