Eleventh SEKMUN Meeting: Madrid, Spain. 14th-16th March 2017
REGISTRATION FORM
Please return as soon as possible!
Deadline: January 20th, 2017.
School name: ...................................................................................................................................................................................................................................................................................
Address: ...............................................................................................................................................................................................................................................................................................
City:..........................................................................................................................................................................................................................................................................................................
Country: ...............................................................................................................................................................................................................................................................................................
Telephone: .........................................................................................................................................................................................................................................................................................
Email:.....................................................................................................................................................................................................................................................................................................
Website:................................................................................................................................................................................................................................................................................................
Number of students attending SEKMUN XI:....................................................................................................................................................................................................................
Number of teachers attending SEKMUN XI:.....................................................................................................................................................................................................................
Number of students who lodge at SEK families:.........................................................................................................................................................................................................
Bank details
In order to confirm participation, please make transfer payable to: Fundación Felipe Segovia (SEK)
C.C.C. 0049 0789 50 2611139361
IBAN ES240049 0789 50 2611139361
Please send “proof of payment” for tracking purposes
School billing information
Amount
Number
Total
School registration fee:
€ 125
1
€125
Fee per student:
€ 125
Fee per teacher:
€ 100
TOTAL:
Amount transferred: ....................................................................................................................................................................................................................................................................
Account number of origin:........................................................................................................................................................................................................................................................
Date of transfer:...............................................................................................................................................................................................................................................................................
Eleventh SEKMUN Meeting
Contact: [email protected]
Paseo de las Perdices, 2 | San Sebastián de los Reyes | 28707 Madrid | Spain | Tel: +34 91 659 6300 | www.sek.es
Eleventh SEKMUN Meeting: Madrid, Spain. 14th-16th March 2017
Teacher registration
Teacher 1: Name & Surname: .................................................................................................................................................................................................................................................
Email: ....................................................................................................................................................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Number of delegates under his/her responsibility: .................................................................................................................................................................................................
Additional comments:.................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
“I am fully aware of the conditions to participate and assume responsibility for the members of my delegation as well as for maintaining order and respect during all SEKMUN X activities.”
______________________ _______________ ______________
Name Date Signature
Teacher 2: Name & Surname: ................................................................................................................................................................................................................................................
Email: ....................................................................................................................................................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Number of delegates under his/her responsibility: .................................................................................................................................................................................................
Additional comments:.................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
“I am fully aware of the conditions to participate and assume responsibility for the members of my delegation as well as for maintaining order and respect during all SEKMUN X activities.”
______________________ _______________ ______________
Name Date Signature
Teacher 3: Name & Surname: ................................................................................................................................................................................................................................................
Email: ....................................................................................................................................................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Number of delegates under his/her responsibility: .................................................................................................................................................................................................
Additional comments:.................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
“I am fully aware of the conditions to participate and assume responsibility for the members of my delegation as well as for maintaining order and respect during all SEKMUN X activities.”
______________________ _______________ ______________
Name Date Signature
Eleventh SEKMUN Meeting: Madrid, Spain. 14th-16th March 2017
Delegate registration per committee
Human Rights Committee (in English)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ......................................................................................... Previous experience as MUN delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
Delegate 2: Name and Surname: .........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ......................................................................................... Previous experience as MUN delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
ECOSOC (in English)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ......................................................................................... Previous experience as MUN delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
World Tourism Organitation UNWTO (in English)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ......................................................................................... Previous experience as MUN delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
Eleventh SEKMUN Meeting: Madrid, Spain. 14th-16th March 2017
Delegate registration per committee
FAO Council (in English)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ......................................................................................... Previous experience as MUN delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
UNESCO (in English)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ......................................................................................... Previous experience as MUN delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
General Assembly (in Spanish)
First committee:...............................................................................................................................................................................................................................................................................
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ..................................................................................................... Previous experience as delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
Second committee: .......................................................................................................................................................................................................................................................................
Delegate 2: Name and Surname: .........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ..................................................................................................... Previous experience as delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
Eleventh SEKMUN Meeting: Madrid, Spain. 14th-16th March 2017
Delegate registration per committee
Third committee:.............................................................................................................................................................................................................................................................................
Delegate 3: Name and Surname: .........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ..................................................................................................... Previous experience as delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
Security Council (in Spanish)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number:...................................................................................................... Previous experience as delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
Delegate 2: Name and Surname: .........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ..................................................................................................... Previous experience as delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
...................................................................................................................................................................................................................................................................................................................
UNICEF (in Spanish)
Delegate 1: Name and Surname:...........................................................................................................................................................................................................................................
School:...................................................................................................................................................................................................................................................................................................
Email: ................................................................................................................................................ Date of birth:......................................................................................................................
Passport number and nationality (to access spanish senate):...........................................................................................................................................................................
Mobile phone number (including country code):.....................................................................................................................................................................................................
Parent / Legal guardian contact number: ..................................................................................................... Previous experience as delegate: Yes/No .......................
Observations (medical, dietary, etc.): ...............................................................................................................................................................................................................................
Eleventh SEKMUN Meeting
Contact: [email protected]
Paseo de las Perdices, 2 | San Sebastián de los Reyes | 28707 Madrid | Spain | Tel: +34 91 659 6300 | www.sek.es
...................................................................................................................................................................................................................................................................................................................