Application for Registration to participate in the
Nuremberg Moot Court 2017
1. Institution
University
Faculty
Street
Postal Code
City
Country
Contact Person
Phone
E-mail
2. Team Coordinator
Title
First Name
Surname
Gender
E-mail
Phone
3. Coach
Title
First Name
Surname
Passport No.*
Nationality*
Date of Birth* dd.mm.yyyy
Gender
E-mail
Phone
4. Team Members
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N
First Name
Surname
Passport #*
Nationality*
Sex
1
M/F
Date of Birth
dd.mm.yyyy
2
M/F
dd.mm.yyyy
3
M/F
dd.mm.yyyy
4
M/F
dd.mm.yyyy
5
M/F
dd.mm.yyyy
E-mail
Year of Study
Does your Team need VISA for Germany? (Y/N)
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* For visa purposes.
Please make sure all names appear as they do on your passport. This is how your name will appear on
your name tag and certificate.
Digital application forms only will be accepted.
The coordinator (a team member or coach) will be the team representative, who will be responsible for the
team.
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5. Motivation Letter
Are you applying for funding? * (Y/N)
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* The organizers are offering funding (travel expenses, accommodation and per diem) for three teams from
situation countries of the ICC or other conflict or post-conflict countries. Teams applying for funding must
indicate their intention and reasons for doing so in their motivation letter. In this instance, the motivation letter
must not exceed two pages in length.
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6. Declaration of consent for the publication of photographs and videos and the granting of rights of
use
We hereby give our consent to Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU),
represented by
International Criminal Law Research Unit
Bismarckstr. 8, 91054, Erlangen
[email protected]
to take Photographs and/or videos (including
the following event:
International Academy Nuremberg Principles
Egidienplatz 23, 90403 Nuremberg
[email protected]
sound) of us on the following occasion/during
Nuremberg Moot Court 2017
26.07.2016 – 29.07.2016
In: Nuremberg
The photographs and/or videos taken may be published without restriction with regard to
time, space or content.
We irrevocably grant all rights of use to FAU for the reproduction, distribution and
publication of the photographs and videos, which may also be in electronic form. This
includes the right to use the photographs in all media, in print and online products, on all
social platforms, for the purposes of presenting itself and for commercial use.
FAU is permitted to optimize the photographs and/or videos for printing and to alter or edit
(cropping, montages, photographic or computer-aided editing or modification) them for this
purpose.
The decision to print the names of people involved shall be at FAU's discretion. We will not
receive any form of payment and will not assert any claims in this regard. German law shall
apply to this agreement. No additional oral agreements have been made; changes must be
made in writing.
Participating members of the Team
First Name
Surname
Signature
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2
3
4
5
6!
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Date: dd.mm.yyyy
Signature (Team Coordinator):
Please complete, print, sign and scan the application form and send it to:
[email protected]
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