National working groups for the EU Youth Dialogue - cecoforma

General information

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First name *

Last name *

Email *

Country *

Travel and accommodation information

Country and City of Departure *

Arrival date to Brussels (Subject to approval if not 18th May) *

Departure date from Brussels (Subject to approval if not 21st May) *

First Name and LAST NAME as on passport *

Date of Birth *

Please upload of copy of your ID card or passport *

Allowed file formats: .jpg, .jpeg, .zip, .rar, .png, .bmp, .pdf, .docx, .doc, .pptx, .ppt, .mp4, mp3, m4a, wav, .ics, .webp, .gif, .xlsx, .xls, .csv Maximum file size: 20Mb

Mobile Phone *

I confirm that I would like to stay at Penta Hotel from 18th to 21st of May *

Accommodation from 18th to 21st of May has been pre-booked at Penta Hotel for your stay in Brussels during the meeting.

Consent and Privacy Agreements

I confirm that I have read the privacy statement *

The European Union is committed to user privacy.

The policy on protection of individuals with regard to the processing of personal date by the Community institutions is based on Regulation (EC) N.45/2001 of the European Parliament and of the Council of 18 December 2000

The relevant data protection notice can be viewed via this link

Photo and Video Consent *

I consent to being photographed and/or recorded and to the European Commission using this material for social media and communication purposes.

Registration fees

Registration to this event

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