Application Form SAM Konjic
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7/27/2019 Application Form SAM Konjic
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III Supporting Area MeetingKonjic
11th of September15th of September
Application Form
This form together with a copy of your ID/Passport must be sent [email protected] no later
than the 10th of August 2013.
Application number: (for OC use only)
National/Local Group:
Position:
ELSA Member / Non ELSA Member / Alumni (please underline your answer)
Which workshop will you attend?
Personal Information:
Name:
Surname:
Gender:
Date of Birth:
Address:
Town/City:
Post Code:
Country:Telephone Number:
Email Address:
ID/Passport Number:
Date of Issue:
Expiry Date:
mailto:[email protected]:[email protected]:[email protected]:[email protected] -
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Do you require a VISA to enter Bosnia and Herzegovina?
Do you have any allergies or medical conditions that we should know about?
Are you a vegetarian?
Do you have any special food requirements? (If yes, please specify)
Accommodation
How many nights will you be staying in Konjic? (Please tick x where applicable)
Prices per night, per person:
ELSA Members favored countries: 29
ELSA Members non favored countries: 33
Alumni: 40
Non ELSA Members:40
Wednesday 11thSeptember 2013
Thursday 12thSeptember 2013
Friday 13th September 2013
Saturday 14th September 2013
Who would you like to share a room with? Please enter name and national/local group.
(Maximum 2 people)
Will you be staying anyextra nights? If yes, please tick x where applicable.
Price 40 per extra night per person
Monday 9thSeptember 2013
Tuesday 10th September 2013
Moncday 16th September 2012
Tuesday17th September 2012
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Registration fee
Registration fee is 50 and it must be paid within 10 days after you receive acceptance notification. In the
case of withdrawal this amount wont be refunded. The rest of the money can be paid through bank
transfer or in person upon arrival.
Additional costs
Please tick x where applicable:
Social Program (20 )
Sightseeing (10 )
Arrival information
Please indicate your intended means of transportation:
Plane Train Bus Car Ship
Date and Time of Arrival:
Date and Time of Departure:
Contact person in case of emergency
Please state name and telephone number:
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Payment details
Payment must be made by bank transfer. After we receive your application form and accept yourapplication, we will give you details of our bank account and the fee that you have to pay. After receivingthe payment details, the payment must be completed within a period of two weeks. The participation willbe confirmed only after we receive your payment.
Contract
This Application Form, is considered to be a formal contract and commitment between ELSAand the applicant stated on this form. Both parties should inform immediately about the changesthat are made after filling in the AF, or a new AF should be completed.
In applying for an S&C event through ELSA, the applicant is committing to:
Participating in the Event (unless due to special circumstances) Paying the participation fee Accepting the place in the SAM event in case he/she has been selected Filling in the Participant Evaluation Form and hand it in to the organising local groupELSA is committed to:
Providing the student with the necessary information about the SAM event in order to make a decisionfor which event he/she wants to apply for
Providing support to the student to make it possible to participate in the event (accommodation,transportation, visa, etc.)
Fulfil the description that was given while promoting the event, if the changes were not communicatedto the participant.
_________________________________________________________________________________________________________________For office use only
Accepted__________________ Rejected__________________Paid__________________ Remark__________________
If you have any questions regarding the application or questions of any kind, please do not hesitate to
contact the OC [email protected].
mailto:[email protected]:[email protected]:[email protected]:[email protected]
