ࡱ> pro 4bjbjWW 8j55] ( ( 8d6462N ,73333333$694OOO4144O3O302dXZv13e4<41:S:,2:2<OOOOOOO44OOO4OOOO:OOOOOOOOO( $ L: IOC-UNESCO Intergovernmental Coordination Group for the Indian Ocean Tsunami Warning and Mitigation System (ICG/IOTWS) Regional Workshop on Standard Operating Procedures for Tsunami Warning and Emergency Response for Northern and Western Indian Ocean Countries INCOIS, Hyderabad, India, 23-27 June 2014 APPLICATION FORM Deadline for applications: 9 May 2014. Successful applicants will be contacted by 23 May 2014. Applications should be sent to the ICG/IOTWS Secretariat by email to:  HYPERLINK "mailto:iotws@unesco.org" iotws@unesco.org. Please indicate: Do you wish to apply for travel, accommodation and subsistence support?*  FORMCHECKBOX  Please refer to the announcement letter for eligibility criteria for travel, accommodation and subsistence support. *Funding support is limited to those countries indicated in the announcement letter. Are you a middle to senior National Tsunami Warning Centre (NTWC)  FORMCHECKBOX  manager or operator? Or Are you a middle to senior Disaster Management Organisation (DMO)  FORMCHECKBOX  manager or operator? Or Are you a middle to senior Media Organisation manager with responsibility  FORMCHECKBOX  for interacting with your countrys NTWC and/or DMO? PERSONAL INFORMATION NAMETITLE FORMCHECKBOX  DR.  FORMCHECKBOX  MR.  FORMCHECKBOX  MS.  FORMCHECKBOX  others _________GENDER FORMCHECKBOX  MALE  FORMCHECKBOX  FEMALEDATE OF BIRTH (DD-MM-YYYY) NATIONALITY ORGANISATION AND POSITIONADDRESS  TELEPHONE NUMBERFAX NUMBER  EMAIL ADDRESS   EDUCATIONAL BACKGROUND LEVELSCHOOLDEGREEYEAR GRADUATEDTERTIARY    MASTERS DOCTORAL POST DOCTORAL 3. TSUNAMI or SOP RELATED TRAINING TITLECONDUCTED BYINCLUSIVE DATES       4. TRAVEL INFORMATION NB. Please attach a copy of the personal details page of your passport with your application PASSPORT NUMBER  FULL NAME (AS PRINTED ON PASSPORT) DATE OF ISSUE  PLACE OF ISSUE  EXPIRY DATE  NEAREST INTERNATIONAL AIRPORT  5. ADDITIONAL INFORMATION Have you been officially nominated to attend this workshop by your countrys Tsunami National Contact (TNC)? 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