RIDEF 2016 IN BENIN - Registration form
RIDEF 2016 IN BENIN
Card of enrollment
It is necessary to really read the card before filling it
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IDENTIFICATION
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M. Mrs.
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name
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first name
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age
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Sex
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address
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area code
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Nationality
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city
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country
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FIMEM movement of adherence
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E-mail (for the confirmation)
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You will be written down after the payment of all entry fees
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LODGING AND RESTORATION
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Lodging to the ENi (Normal School of the Teachers)
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room to superimposed 2 beds
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Name of the person sharing the room with me
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Hotels in city in Dogbo:
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room to a double bed (one or 2 people by bed. )
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Hotels outside of Dogbo for those that want it (Lokossa, Djakotomey, Azové): (16 to 65 euros of supplement per day according to the status of the hotel).
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Special conditions for the hébergement:ex: reduced mobility...
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Special conditions for the restoration: vegetarian ex:repas - allergies...
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Accompanying children: and/or accompanying adults (ex: conjoined).
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Name, first names, ages - sleeping with me
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Name, First names, ages - sleeping to part
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Other:
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TREASURY
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Member country of one of the movements of the FIMEM
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No one country A to adult lodged at the hotel: 450 euros
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No one country A lodged to the ENI: 400 euros
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No one country B adult lodged at the hotel: 400 euros
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No one country B lodged to the ENI: 320 euros
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No one country adult C lodged at the hotel: 400 euros
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No one country adult C lodged to the ENI: 250 euros
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Country non member of the FIMEM
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No one country A to adult lodged at the hotel: 500 euros
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No one country A adult lodged to the ENI: 450 euros
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no one country adult B lodged at the hotel: 420 euros
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No one country adult B lodged to the ENI: 340 euros
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Enfant/adolescent (3 to 18 years): 220 euros
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Supplementary night before or after the Ridef
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ENI: 28 euros
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Hotel: 40 euros
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I offer a contribution voluntary of solidarity of………. euros
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FASHION OF PAYMENT
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I send the money of my enrollment with the one of my spouse, my children or my colleagues if there is lieu.Préciser the names and first names.
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Payment in two possible times: first payment limits end of March 2016 and second payment limits June 15, 2016
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For Europe: by transfer on the account of the FIMEM-RIDEF BÉNIN IBAN: FR7610278361950001117560232
RIB: 10278361950001117560232
BIC: CMCIFR2ADomiciliation of the bank: CCM 14bis Rue Talensac 44000 Nantes
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By check to the accountant's address: François Perdrial 39 Rue Jean Emile Laboureur44000 Nantes (to the back of the check mention "Ridef Benin"
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For Africa, America and Asia on the account ABEM Ridef Benin
IBAN: BJ66BJ6611300200770926000976
Domiciliation: Bank of Africa BP 182 Lokossas (Benin)
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MY INVOLVEMENT
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language of origin
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other spoken languages
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other included languages
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I am available to make ORAL translations / WRITTEN if need be.
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Shops
Animation of a long shop in consistency with the theme of the ridef "The education to the citizenship for a participating democracy" to see card long shop TO COMING
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Animation of a shop runs the afternoon (1h30 / 3h / 6h on 2 after-noons) to See card short shop TO COMING
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Exhibitions
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Theme of my exhibition
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Material and necessary surface
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VISA
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I need an invitation letter YES / NO
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TRANSPORTATION
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Place, date and hour of arrival to the road station
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Date and hour of arrival to the airport of Cotonou (flight n° company)
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Date and outgoing hour of the airport of Cotonou
TOURISM
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I would like to make a pre-ridef of 3 days / 2 nights in a family (to see the Pre-Ridef card )
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I would like to make a post-ridef of 4 days /3 nights to discover the north of the country. (to see the card..)
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I would like to make a post-ridef of 4 days /3 nights in a family. (to see the card.. )
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