Confirmation of Attendance

*First Name as on Passport:

Middle Name/s as on Passport:

*Surname as on Passport:

Gender:

Pronouns e.g. she/he/they:

*Date of Birth as on Passport:

*Role:

*Are you a Board Member youth representative? YesNo

If other, please describe the mandate by which you will attend the General Assembly.

*Please confirm if your appointment was made by the MA youth. YesNo *Please specify how you were appointed to be youth representative. Attach evidence of your appointment by MA youth e.g. Meeting Minutes/Email Chain/Message Screenshots Evidence Option 1 Evidence Option 2 Evidence Option 3

*Designation:

If other, please specify.

*Organization name:

*Country where you live:

*Email address: *Only use the email address to which you received the General Assembly invitation

*Mobile phone number:
*Include country code

*If other please input country code here.

*By providing your email and mobile number, you agree to be contacted with information relating to the IPPF General Assembly 2022. IPPF will not share your contact information with any third parties.

*What languages do you speak? *Choose all that apply ArabicEnglishSpanishFrench

*I have read, understood and signed the IPPF Event Code of Conduct. Please attach your signed document. YesNo

*Please upload your signed copy of the IPPF Event Code of Conduct

*If no, please read the IPPF Event Code of Conduct, sign it and upload the file below.Please contact your Regional Office for assistance in understanding what it means for you.

Download the IPPF Event code of conduct - English, French, Spanish, Arabic

Do you have any access requirements we should be aware of? YesNo

If yes, please specify

*Will you travel to Bogotá, Colombia to attend in-person or attend the General Assembly virtually? Virtually

In order to travel to Colombia, you will need minimum 6 months remaining on your passport.
*Nationality as on Passport:

*Passport number:

*What is your blood type?

*Are you fully vaccinated against COVID-19? YesNo

*Attach proof of vaccination

*All delegates of the General Assembly must have received COVID-19 vaccinations to attend in person. We cannot confirm your attendance at the General Assembly in-person unless you have received COVID-19 vaccinations. Do you require support to access COVID-19 vaccines in your country? YesNo

If yes, please email GeneralAssembly2022@ippf.org

21st to 25th November 2022