Enhancing the Role of Women in Conflict Mediation in the OSCE Region

SEGMENTGALERIE I,VIENNA, HOFBURG
October 22, 2012

REGISTRATION FORM
Deadline: 12 October 2012
Please send a completed registration form to Elke.Lidarik@osce.org

1.  	Country:       

2.	Name of Organization or Institution:       

3.	Ms.   Mr.   

4. 	Participant Last Name(s):       

5.  	Participant First Name(s):       

6.  	Occupation / Position / Title:  	     

7.  	Organization/Institution’s postal address:      

8.     	Phone number / Mobile number:             	E–Mail:      

9.	Reason for attending conference:       

10.	Area of expertise/interest:

 	Mediation processes
	Women in mediation
 	Practical experience of mediation work in the field
 	Policy and Government Support for mediation efforts
 	Other: ………………….…….………………………………….…….………………

11. 	Will you be bringing additional materials (brochures, publications, etc.) for which you require display space?  		 Yes		 No