Register to 2017 MCM CDAG

To register for this event please fill in the form below. All participants need to be registered individually. NL participants to forward their Peoplesoft number to the NLDET Security Officer (i.a.w. separate correspondence).

Ensure you have a scanned copy of your Passport available for upload (file types: jpg/jpeg/png/pdf ; max: 1 MB).

Ensure you have a scanned copy of your Security Clearance certificate available for upload (file types: jpg/jpeg/png/pdf ; max: 1 MB).

Your Name (*)

Your First name (*)

Your Rank (NATO) (*)

Nationality (*)

Your Jobtitle (*)

Your Organisation (*)

Your Address (*)

Your City (*)

State

ZIP Code (*)

Country (*)

Your Business Phone (*)

Your Mobile Phone

Your Business Email (*)

Second Email

Upload Passport/ID-Card (Max 1MB)

Logistic requirements

(Participants to the 2017 BENL MCM CDAG from 13 till 17 March 2017 should add extra logistic requirements in the text area below.)

Hotels available: Hotel RAMADA, Hotel BERO and Hotel BURLINGTON.

Booked accommodation (e.g. Hotel)

Check-in: , check-out:

Do you require accommodation at EGUERMIN (Belgian participants 0 EUR/pp/pn ; Dutch participants 25 EUR/pp/pn)? (*)

If yes, check-in: , check-out:

If yes, upload Copy Security Certificate (filetypes: jpg|jpeg|png|pdf ; max: 1 MB)

Note: The availability of the requested accommodation at EGUERMIN will be confirmed by e-mail.

Car Licence Plate

Breakfast [2 EUR/pp cash] on 12 March 2017 (*)

Lunch [4,50 EUR/pp cash] on 13 March 2017 (*)

Ice-Breaker on 13 March 2017 (*)

Breakfast [2 EUR/pp cash] on 14 March 2017 (*)

Lunch [4,50 EUR/pp cash] on 14 March 2017 (*)

Breakfast [2 EUR/pp cash] on 15 March 2017 (*)

Lunch [4,50 EUR/pp cash] on 15 March 2017 (*)

Breakfast [2 EUR/pp cash] on 16 March 2017 (*)

Lunch [4,50 EUR/pp cash] on 16 March 2017 (*)

(Non-hosted) Apero and dinner [xx EUR/pp cash] on 16 March 2017 (*)

Breakfast [2 EUR/pp cash] on 17 March 2017 (*)

Lunch [4,50 EUR/pp cash] on 17 March 2017 (*)

Please note any other remark about your requirements

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