IGF

Second Latin American and caribbean preparatory meeting of the IGF

Financial Assistance Request

Financial Assistance Request Form

Name*

Last Name*

Organization*

(Use PRIVATE if not representing any Organization)

Position*

E-mail*

Phone Number*

Gender

Male Female

Language

Spanish Portugues English

Address*

City*

Country*

Define your organization:

ISP
Academic
Governmental
Civil Society
Other

Is this your first time to attend a IGF preparatory meeting?

Yes No

Type of assistance requested

Financial assistance for accommodation expenses at the meeting’s hotel
Priority 1 Priority 2
Financial assistance for airfare to Rio de janeiro
Priority 1 Priority 2
(airport taxes, visa applications and other requirements such as immunizations are responsibility of the selected candidates).

Comments:

The applicants who are selected will be informed of this decision by July 1230 2009. Confirmation of acceptance of the financial assistance by the selected applicants is due on August 4, 2009.
Applications received after the due date will not be considered.
For additional information, please contact graciela@rits.org.br

LACNIC

LACNIC - Latin American and Caribbean Internet Addresses Registry