Remarks:
- Please fill in the yellow and blue fields only or mark with an X
- Fill in 1 form for both representatives.
I want to participate for
☐
Summer Field Camp 4 weeks
25JUN-21JUL
☐
Summer Field Camp 2 weeks
07JUL-21JUL
CADET 1
Male
Female
Rank, ac. degree(s)
FAMILY NAME
First name(s)
Date of birth
DD MM YYYY
Nationality
Passport or ID number
Passport or ID validity until
DD MM YYYY
Branch of Service (if available)
Sending institution
Phone number (include country code)
E-mail address
Special dietary or food requirements due to medical or religious reasons
If yes, please specify food you cannot consume
No
Yes
Insert below your picture (preferably a passport picture)
– preferably in jpg-format or attach the picture to the mail.
CADET 2
Male
Female
Rank, ac. degree(s)
FAMILY NAME
First name(s)
Date of birth
DD MM YYYY
Nationality
Passport or ID number
Passport or ID validity until
DD MM YYYY
Branch of Service (if available)
Sending institution
Phone number (include country code)
E-mail address
Special dietary or food requirements due to medical or religious reasons
If yes, please specify food you cannot consume
No
Yes
Insert below your picture (preferably a passport picture)
– preferably in jpg-format or attach the picture to the mail.
Arrival at
Riga International Airport (RIX)
Other
(please specify)
On (arrival date)
DD MM YYYY
At (arrival time
[if available])
Departure from
Riga International Airport (RIX)
Other
(please specify)
On (departure date)
DD MM YYYY
At (departure time
[if available])
Please fill in your institution’s point of contact’s (POC’s) data below.
Male
Female
Rank, ac. degree(s)
FAMILY NAME
First name(s)
POC’s phone number (include country code)
POC’s e-mail address
In case of emergency, please give the point of contact (POC).
Male
Female
Rank, ac. degree(s)
FAMILY NAME
First name(s)
POC’s phone number (include country code)
POC’s e-mail address
Return NLT June 05
Ms. Gundega Zande
Tel: +37127857702
E-mail:
[email protected]