Seminar for Senior Bank Supervisors from Emerging Economies

Deadline for online registration is September 22, 2014. For additional information please contact: Neelam Tuteja at ntuteja@worldbank.org or Rajesh Dongol at rdongol@worldbank.org Tel: +1-202-473-1753 (Ms. Tuteja); +1-202-458-5484 (Mr. Dongol) Fax: +1-202-522-3199

1. PERSONAL INFORMATION

Title

First Name *This question is required.

Last Name *This question is required.

Date of Birth (month/day/year) *This question is required.

Passport No. *This question is required.

Name of country issuing passport *This question is required.

2. EMPLOYMENT

Title/Department

Organization

3. CONTACT INFORMATION

Street Address or P.O. Box

Apt/Suite/Office

City

State

Postal Code/Zone

Country

Email Address *This question is required. This question requires a valid email address.

Work Phone Number

Fax Number

Home/Mobile Phone

4. MEAL PREFERENCE

Please indicate if you will require a vegetarian meal during the seminar events

5. VISA

Please indicate if you will need a personalized invitation letter for visa purposes *This question is required.

Seminar for Senior Bank Supervisors from Emerging Economies

Registration Form