Annex B
NATO Advanced Medical Staff Officer Course (NAMSOC) 24JUN - 05JUL2024
DGOTC, Noodweg 37, 1213PW Hilversum, Netherlands
REGISTRATION FORM
Last Name:
First Name:
Passport or ID card number
Rank:
Nationality:
Duty Position:
Representing Organization:
Mobile Phone Number:
E-mail address:
Arrival Date and Time:
Departure Date and Time:
Accommodation (hotel name or dormitory):
Participation in Cultural Program, June 29 2024:
YES
NO
Questions/Remarks/Assistance required:
Please fill in and return this form NLT 12 APR 2024 to
[email protected] &
[email protected]