Pavilhão Carlos Lopes, Lisbon, May 14-15, 2024 Management and Sustainability of Outer Space Activities Conference – Media Registration Only Given name(s) *(As in your national passport) Surname(s) *(As in your national passport) Organization * Job Title * E-mail address *(IMPORTANT: Please provide one email address only and make sure that it is correct. This is the only way we can contact you.) Confirm E-mail address(IMPORTANT: Please provide one email address only and make sure that it is correct. This is the only way we can contact you.) Gender * —Please choose an option—FemaleMaleNon-binaryPrefer not to say Nationality*As classified according to UN regional groups (https://www.un.org/dgacm/en/content/regional-groups) —Please choose an option—African StatesAsia-Pacific StatesEastern European StatesLatin American and Caribbean StatesWestern European and other States —Please choose an option—AlgeriaAngolaBeninBotswanaBurkina FasoBurundiCabo VerdeCameroonCentral African RepublicChadComorosCongoCôte d'IvoireDemocratic Republic of the CongoDjiboutiEgyptEquatorial GuineaEritreaEswatiniEthiopiaGabonGambiaGhanaGuineaGuinea-BissauKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSouth SudanSudanTogoTunisiaUgandaUnited Republic of TanzaniaZambiaZimbabweOutro —Please choose an option—AfghanistanBahrainBangladeshBhutanBrunei DarussalamCambodiaChinaCyprusDemocratic People's Republic of KoreaFijiIndiaIndonesiaIran (Islamic Republic of)IraqJapanJordanKazakhstanKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLebanonMalaysiaMaldivesMarshall IslandsMicronesia (Federated States of)MongoliaMyanmarNauruNepalOmanPakistanPalauPapua New GuineaPhilippinesQatarRepublic of KoreaSamoaSaudi ArabiaSingaporeSolomon IslandsSri LankaSyrian Arab RepublicTajikistanThailandTimor-LesteTongaTürkiyeTurkmenistanTuvaluUnited Arab EmiratesUzbekistanVanuatuViet NamYemenOutro —Please choose an option—AlbaniaArmeniaAzerbaijanBelarusBosnia and HerzegovinaBulgariaCroatiaCzechiaEstoniaGeorgiaHungaryLatviaLithuaniaMontenegroNorth MacedoniaPolandRepublic of MoldovaRomaniaRussian FederationSerbiaSlovakiaSloveniaUkraineOutro —Please choose an option—Antigua and BarbudaArgentinaBahamasBarbadosBelizeBolivia (Plurinational State of)BrazilChileColombiaCosta RicaCubaDominicaDominican RepublicEcuadorEl SalvadorGrenadaGuatemalaGuyanaHaitiHondurasJamaicaMexicoNicaraguaPanamaParaguayPeruSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSurinameTrinidad and TobagoUruguayVenezuela (Bolivarian Republic of)Outro —Please choose an option—AndorraAustraliaAustriaBelgiumCanadaDenmarkFinlandFranceGermanyGreeceIcelandIrelandIsraelItalyLiechtensteinLuxembourgMaltaMonacoNetherlandsNew ZealandNorwayPortugalSan MarinoSpainSwedenSwitzerlandTürkiyeUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaOutro Request Visa Letter * —Please choose an option—YesNo Professional Address * Type of document with which you are applying for a visa * —Please choose an option—Ordinary PassportOther Country/city of residence * Passport number * Passport Issuing Country * Passport expiry date * Expected date of travel * The personal data received by the Portuguese Space Agency regarding the UN/Portugal Management and Sustainability of Outer Space Activities Conference will be used exclusively for sending information about this event and related initiatives and shared with the relevant partners of the exhibition, either institutions or individuals. If you wish to limit the processing of your data to telephone or email contact or delete any of the above purposes, you can do so by emailing secretariado@ptspace.pt. The consent given for the processing of personal data may be revoked at any time by the interested party. To revoke the consent to the processing of your data for the purposes stated, or to exercise your rights of access, rectification, opposition, deletion, limitation and portability, the interested party must express his or her will by sending a written request to the e-mail address secretariado@ptspace.pt. I have taken note of and accept the processing of data in accordance with the foregoing. AgreeI don't agree Send
