JUDICIAL DIALOGUE REGISTRATION FORM

SECTION A: PERSONAL INFORMATION

SECTION B: GROUP DISCUSSIONS DURING THE DIALOGUE Tick a single field marked 1, 2, 3 or 4 in order of preference in each group or tick the bottom option if you dont have any preference
(Please note that the organisers may allocate you to a group other than indicated in the order of preference in the interest of achieving equitable and diverse participation in the Groups)
SECTION C: TRAVEL AND ACCOMODATION
Vegetarian Halal Diabetic Kosher Any special mobility requirements: Yes No
SECTION D: EMERGENCY CONTACT Please fill the details of whom to contact in case of Emergency
SECTION D: ACCOMPANYING PERSON Please fill the information below if you will be travelling with company