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

Name*

First Last

Name of organisation*

Address*

Street Address City Country

Do you need a shuttle service to the hotel in St. Louis*

Time and name of hotel where you want to picked up

Email address*

Do you need a hotel room in St. Louis*

Expected day of arrival at the hotel in St. Louis

Expected day and time of departure at the hotel in St. Louis

Total number of nights

Visa invitation letter*

Passport number (only when you need an invitation letter)

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

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

Will you attend the meeting on 3rd July afternoon*

Will you join Welcome dinner on 3rd July*

Will you join dinner of 4th July*

Special diet requirements*

Diet details

Will you join the meeting on 4th July*

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