Hereby I would like to register for the MTBVAC in Newborns meeting in Madagascar

Name*

First Last

Gender*

Name of organisation*

Address*

Street Address City Country

Do you need a shuttle service from airport to the hotel*

Email address*

Do you need a hotel room in Antananarivo*

Expected day of arrival at the hotel in Antananarivo

Expected day and time of departure at the hotel in Antananarivo

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)

Will you join the meeting and dinner on 27th May*

Will you attend the meeting on 28th May 2020*

Will you join dinner of 28th May*

Special diet requirements*

Diet details

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