4th Meeting of the Hydrographic Services and Standards Committee (HSSC-4)
Taunton, United Kingdom, 25-28 Sept 2012

HSSC-4 REGISTRATION FORM
[Please send this via e-mail to “Michel Huet” <michel.huet@iho.int>, copy to “June Thomson” (June.Thompson@UKHO.gov.uk) by 31 July 2012]

Note: 	The boxes will expand as you type your answers

Participation in HSSC-4 is open to all IHO Member States, and up to two delegates from Observer States and from Non-Governmental International Organisations (NGIOs) recognised by the IHO. Registered delegates to HSSC-4 will automatically be assumed to be attending the IHO ECDIS Stakeholders’ Forum unless you indicate otherwise.

Member  State /
Organization		

1.	Contact Details: 

Head or Member of delegation		
Rank or Title		
Family Name*		
Givenor Personal Name		
Position / Job title / Role		
Nationality		
Telephone 		
E-mail 		
Accompanying person(s)		
* Underline the name generally used in case of doublesurnames such as in Spanish-speaking countries

2.	Travel Details (for administrative purpose only; participants are expected to make their own travel arrangements):

Your Arrival 	Date		
	
	Arrival Time		

Your Departure	Date		
	
	Departure Time		

3.	Hotel Information (participants should make their own accommodation arrangements):
	Yes or No?	
Hotel	Premier Inn		
	Travelodge Taunton Hotel		
	Express by Holiday Inn Taunton		
	Castle Hotel		
	Other hotel	Name of other hotel	

Comments		
Date