WORKSHOP PARTICIPATION APPLICATION

All sections marked * are mandatory. Incomplete applications will NOT be considered.
Full Name:
Last*
First*
Middle.
Address:
Street Address.*
City.*
ZIP code.
Phone:
Email:*
Designation (if applicable):
Organisation (if applicable):
Your sector:*
- Public (governmental)
- Private (business)
- Civil Society (NGO/Independent actor)
Interest in Energy Efficiency
Briefly tell us about your interest in energy efficiency*
How is this workshop likely to help you or your organisation?*
Participation
If offered the chance, will you be available to attend from the beginning to the end?*
- YES
- NO
Please explain:*
Please tell us if you have any further requirements (such as accessibility and/or dietary needs) that we should be aware of.*
Disclaimer*
I certify that my answers are true and complete to the best of my knowledge. If this application is accepted and I am offered the opportunity, I will fully participate and be bound by the participation guidelines as may be applicable.
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Full Name: