DICA

Course on International Law of Armed Conflict (LOAC)

-
Registration

Registration

Please fill in legibly (CAPITAL LETTERS) and completely and send to the following address:

Medical Services Inspectorate
Secretariat Course LOAC-ICMM
Worblentalstrasse 36, CH-3063 Ittigen, Switzerland

FAX: ++41 31 324 62 44
E-mail: loac.icmm@vtg.admin.ch or ihl.icmm@vtg.admin.ch

Family name: First name:

Military rank (no abbreviations):
Land Forces* Navy* Air Force*
MoD* Other* ..........................................................................

Present function:
Physician* Lawyer* Other* ...................................................

Complete address:  
 
 
Tel No.: FAX No.: E-mail:

Arrival by:
Air* Airport: Date: Time: Flight No.:
Rail* Station: Date: Time:  
Car*:   Date: Time:  

Départure by:
Air* Airport: Date: Time: Flight No.:
Rail* Station: Date: Time:  
Car*:   Date: Time:  

Remarks:





Date: Signature:


*Please tick appropriate box !

Please return the completed application form until the 26 July 2010 so that the course secretariat is able to send you the necessary course documents in time.