Registration form

Belarus – Ukraine Territorial Cooperation Programme
Information Days
1-16 February 2016


* Company/Institution
* Contact person

Last Name

First Name

Position

Mrs/Mr

Фамилия

Имя и отчество

* Country/Region
Belarus
Brest Oblast
Gomel Oblast
Ukraine
Volyn Oblast
Rivne Oblast
Zhytomyr Oblast
Kyiv Oblast
Chernihiv Oblast
* Contact information

City

Address

Phone (with international codes)

E-mail

* Sector you work in
State Actor
Non-state actor
Donor Organisation
EU Organisation/Institution/EU Project
Media

Other:

* What Info-Day do you plan to attend?
Belarus
Brest
1 February 2016
Pinsk
2 February 2016
Gomel
3 February 2016
Ukraine
Chernihiv
4 February 2016
Zhytomyr
8 February 2016
Kyiv
9 February 2016
Rivne
15 February 2016
Lutsk
16 February 2016
Submit