Fake Conference Application from GCEID 2015 Registrar Prof. John Homas registration@gceid.org Dr. john A. Arledge Secretary Global Conference on HIV and Eradicating Infectious Diseases +15409078417 +16107445031

REGISTRATION FORM A..1.pdf

CONGRATULATION RP 2014
FILE NUMBER: GCEID/HK574984379/USGB-645889
THE FILE WAS OPENED WITH THE FOLLOWING DETAILS. YOU HAVE BEEN REGISTERED FOR THE CONFERENCE. DELEGATE REGISTRATION INFORMATION Title: Dr. Prof. Ms. Mrs. Mr. FIRST NAME <insert name> LAST NAME: <insert name> PASSPORT NO: <insert number> DATE OF BIRTH: 01/09/1960 PLACE OF BIRTH FRANCE COUNTRY OF RESIDENT: USA OCCUPATION NURSE You have been duly registered to join the list of participants from different countries who will participate in the Global conference 0n Eradicating Infectious diseases. You are to send your filled registration forms along with the hotel booking confirmation receipt and a copy of a scanned page of your international passport to the registration desk for your Air Tickets processing. The processing of your traveling documents will start as soon as we receive your filled registration form B and C and your official hotel booking confirmation receipt from the Recommended Hotel in Virginia U.S.A.* Your Documents will be processed here in United States. Your approval visa letter will be sent to consulate office in your country of resident and a copy to you. Your visa processing will start immediately we receive your filled registration forms B and C, your hotel booking confirmation receipt from any of the recommended hotels, and a scanned page of your international passport. So you are advice to send the requested documents immediately due to the time frame of the conference starting date. You are hereby required to submit the requested documents, not later than 22nd December 2014, to enable us forward the "B-2 Visa" support approval letter to the Consulate General Office (Visa section) US Embassy in your country of Residence. For same day visa authorization, and finger print scan. Unless you are covered, under the U.S. Visa Waiver Permanent Program. We will get in touch with you as soon as we receive the requested documents and a scanned copy of international passport data page together with your hotel booking confirmation receipt, which is required to prove that you will attend the conference after getting your Visas and round trip air tickets.
(*) Your ¡§B-2 VISA¡¨ process will only start when you have submitted your filled registration form B and C along with your hotel booking confirmation receipt with the recommended Hotel for the period of stay in Virginia.
Below are the contact details of the selected hotels management where delegates for the conference are to stay during the conference period.
DOWN TOWN HOTEL Email: downtownhotel@mail2downtown.com
YOLANDE HOTEL
EMAIL: reservation_hotelyolande@fastservice.com
Global CONFERENCE ON HIV and ERADICATING INFECTIOUS DISEASES
Conference Registration Form (A)
„h When contacting them to book your reservation, please identify yourself as being part of the "GLOBAL CONFERENCE ON HIV and ERADICATING INFECTIOUS DISEASES group to receive the discount rate.
„h Lodging Information
„h Make lodging arrangements early because space is limited.
„h All rates are unit package rates for the entire conference delegate. Rates are based on conferees staying for the duration of the conference.
„h Rates do not include extra night stays beyond the conference dates.
„h All Lodging Reservation Forms, deposits and inquiries should be directed to any of the selected hotel management.
Please note: Hotel reservation confirmations are NOT instantaneous at all locations, once you have submitted your lodging form... please allow time for the resort to process your reservation.
ľ THIS ORGANIZATION is not responsible for lodging arrangements. However, we will be glad to try to help you resolve any problems you may have. Many activity discounts will be available to conferees.
Regards,
Prof. John Homas
Registrar




REGISTRATION FORM B1.pdf

NAMES: ______________________________________________________________________________
NATIONALITY:___________________________ PERMANENT ADDRESS:___________________________
_____________________________________________________________________________________
INCASE OF EMERGENCY:_________________________ CONTACT ADDRESS: _______________________
_____________________________________________________________________________________
PHONE:______________________________ FAX____________________________________________
EMAIL ADDRESS:_______________________________________________________________________
WHAT LANGUAGES DO YOU SPEAK (In order of fluency)________________________________________
PASSPORT NUMBER:____________________________ PASSPORT TYPE:__________________________
MARITAL STATUS: Single: Married Divorced
NAME AND ADDRESS OF GROUP OR ORGANISATION:_________________________________________
_____________________________________________________________________________________
DELEGATE PARTICIPATION FILE NUMBER:___________________________________________________
Return this participation forms along with a scanned copy of your Passport Data Pages and hotel reservation receipt from the selected hotels in Virginia to our registration office via email at registration@gceid.org
GLOBAL CONFERENCE ON ERADICATION OF INFECTIOUS DISEASE OFFICE COMPLEX 2812 N 1ST STR. FREDERICKBURG, VA 540 9078417
Global Conference on HIV AND Eradicating infectious diseases
Conference Registration Form (B)




REGISTRATION FORM C.pdf

Questionnaire
Global CONFERENCE ON ERADICATION OF INFECTIOUS DISEASES
Conference Registration Form (c)
1. Do you have relatives in U.S.A.? Yes No (if yes, please fill in their names, address and relationship status: ___________ ____________________________________________________________________________________________________
2. Describe experiences with culturally diverse situation:________________________________________________________
3. Religion:_____________________________________________________________________________________________
4. Do you have any dietary restrictions:______________________________________________________________________
5. Do you have any allergies to certain foods? List foods:________________________________________________________
6. Do you smoke Yes No Can you confine your smoking Yes No Do you have obligations to others smoking?
7. If yes, briefly explain____________________________________________________________________________________
8. Living abroad exposes you to a lifestyle that you may not be familiar with. Will you be able to adopt to unexpected situation: ____________________________________________________________________________________________
9. Hobbies and Leisure’s time interest________________________________________________________________________
10. Have you ever been arrested or convicted of a crime? Yes No If yes please explain:______________________________ ____________________________________________________________________________________________________
11. How did you know of this conference:_____________________________________________________________________
12. Nearest Airport to your place of residence:_________________________________________________________________
GLOBAL CONFERENCE ON HIV AND ERADICATING INFECTIOUS DISEASE OFFICE COMPLEX 2812 N 1ST STR. FREDERICKBURG, VA 540 90784176