Belfer Center for Science and International Affairs
Non-Proliferation Treaty Symposium Registration
Please enter your details below to register to attend the Academic Symposium that will be hosted during the NPT Review Conference on April 28th, 2015 at the United Nations Headquarters in New York City.
Fill out this electronic registration and submit by
April 10th, 2015
at the latest so the organizational team can process all registrations and ensure access to the UN Building is granted.
Name
*
First
Last
Email
*
Will you be attending the poster presentations and lunch?
*
Yes
No
Will you be attending the post-symposium reception? (6-8 pm on April 28)
*
Yes
No
Dietary requirements (if applicable):
Will you need the organizational team to provide you with a pass to grant you access to the United Nations Building on April 28, 2015?
*
Yes
No
If you will need access granted to the United Nations Building, please enter the following details:
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
Passport/ID card number
Affiliation:
*
If you have any questions about the symposium, please send an e-mail to the organizational team at maarten.broekhof@minbuza.nl
Do Not Fill This Out