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Create PHA3 Booking accommodation & airport transfer
Personal details
First Name (s) – as in passport:
*
Surname – as in passport:
*
Nationality:
*
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States minor outlying islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country:
*
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Dem. Rep.
Congo, Rep.
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR, China
Hungary
Iceland
India
Indonesia
Iran, Islamic Rep.
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Dem. Rep.
Korea, Rep.
Kosovo
Kuwait
Kyrgyz Republic
Lao PDR
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR, China
Macedonia, FYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Fed. Sts.
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovak Republic
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
St. Kitts and Nevis
St. Lucia
St. Martin (French part)
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States minor outlying islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela, RB
Vietnam
Virgin Islands (U.S.)
Virgin Islands, British
West Bank and Gaza
Western Sahara
Yemen, Rep.
Zambia
Zimbabwe
Preferred Spoken Language:
*
English
French
Spanish
Please note that these will be the only official languages durung the PHA3. Translation from and to other language will be informally organized depending on volunteer bi-lingual participants.
ACCOMMODATION
The PHA3 organizing committee can assist booking accommodation at the hostel of the University of Western Cape (UWC) where the PHA3 is taking place. Please take into account that UWC is situated 30 minutes drive from Cape Town and there is no public transport to and from the venue.
A list of alternative accommodation in different locations in and around Cape Town can be found on our website under practical information. PHM cannot commit itself to assist the accommodation booking outside UWC.
Please be aware, when booking accommodation outside UWC, to also arrange for a rental car or taxi to get to the PHA3 venue – people drive at the left side of the road. PHM made arrangements with reliable taxi companies as well as car rental places and negotiated a favourable rate. More information on cost for transport can be found on the PHA3 website.
Accommodation at UWC can be booked at following cost:
Single Room: USD35/26.5EUR/280ZAR incl Breakfast per person per night
Twin Room: USD24/ 18.25EUR/ 192ZAR incl Breakfast per person per night
Payment: cash upon arrival in USD, EUR or ZAR
Would you like to book accommodation at UWC where PHA3 is taking place?:
*
Yes
No
Type of room:
*
Single Room: USD35 incl Breakfast
Twin Room: USD24 incl Breakfast
Sharing with whom?:
*
Specify a name
Does not matter
Who?:
*
In which days you wish that we book the accommodation for you?:
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04 July
05 July
06 July
07 July
08 July
09 July
10 July
11 July
12 July
Other days (before or after)
what?:
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Airport transfer
Lunches and dinners will be provided at low cost at UWC. Participants can order lunch and dinner before 10th of June. Please note that UWC is isolated from restaurants and shops. Because PHA3 includes an evening program after dinner, we urge everybody to stay at UWC for dinner.
Lunch: will be in the form of a food market where small and large meals will be provided through vouchers. The different stalls will present the different local flavours of South Africa. Depending on the size of the meal, the cost for lunch will vary between approximately 5 USD / 3.8EUR/ 40ZAR and 12.5USD/9.5EUR/100ZAR
Vouchers for lunch can be ordered beforehand. Please indicate below how much vouchers you wish to order. Additional vouchers can be purchased on site. Dinner: will be in buffet and needs to be booked before 10th of June. Dinner will be at cost of 9 USD, 6.5 EUR or 70 ZAR per night. Dinners cannot be ordered on site or after 10th of June
Payment: cash upon arrival.
Would you like us to book an airport transfer for you?:
*
Yes
No
Date of arrival in Cape Town airport:
*
1 July 2012
2 July 2012
3 July 2012
4 July 2012
5 July 2012
6 July 2012
7 July 2012
8 July 2012
9 July 2012
10 July 2012
Hour:
*
12 AM (midnight)
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM (noon)
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
Minute:
- None -
00
01
02
03
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05
06
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09
10
11
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25
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28
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30
31
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38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Airlines:
Flight number :
*
Date of departure from Cape Town:
- None -
10 July 2012
11 July 2012
12 July 2012
13 July 2012
14 July 2012
15 July 2012
16 July 2012
17 July 2012
18 July 2012
19 July 2012
20 July 2012
Hour:
*
12 AM (midnight)
1 AM
2 AM
3 AM
4 AM
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM (noon)
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
11 PM
Minute:
*
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Airlines:
Flight number:
Meals
PHA3 organizing committee offers Lunches and dinners will be provided at low cost.
Lunch: will be in the form of a foodmarket, vouchers will be able to be purchased at cost of 4 USD, 3 EUR or 33 ZAR.
Dinner: will be in buffet and needs to be booked before 20th of June. Dinner will be at cost of 10 USD, 8 EUR or 83 ZAR per night.
PHA3 offers an evening program and therefore we urge everybody to stay at UWC for dinner. Please take into account that there are no restaurants in the neighbourhood and that there is no public transport to and from town.
Would you like that we book you lunch and or dinner for you?:
*
Yes
No
Lunch and dinner:
*
04 July
1.Lunch
1.Dinner
05 July
2.Lunch
2.Dinner
06 July
3.Lunch
3.Dinner
07 July
4.Lunch
4.Dinner
08 July
5.Lunch
5.Dinner
09 July
6.Lunch
6.Dinner
10 July
7.Lunch
7.Dinner
11 July
8.Lunch
8.Dinner
12 July
9.Lunch
9.Dinner
MEALS SPECIFICATION:
*
Vegetarian
Halaal
Kosher
Do you have special requirements in meals?:
*
Yes
No
Children
Day care at the UWC crèche for children from 2 to 5 years old will be provided between 8am to 4pm, at no extra cost. Between 16h and 19h, there will be a cost per child depending on the amount of children that needs day care after 16h.
PHM will not be able to accommodate children younger than 2 and older than 5 years. An indemnity form will need to be signed upon arrival.
Will you bring a child with you?:
*
Yes
No
How old is the child?:
*
Would like your child to attend crèche?:
*
Yes
No
Would you need day care after 16h?:
*
Yes
No
Simultaneous translation
Session at PHA3 will have speakers from different countries and as such sessions will take place in different languages: English, French and Spanish. PHM is providing professional interpretation for most sessions.
The equipment used includes small radios with earplugs for the participants on which they can indicate the channel of their language of preference. Because the channels are not easy to be found on radio’s we request participants to use radio’s that have a digital way of choosing the radio channel.
PHM offers radio’s and earplugs that match the interpretation equipment and that guarantee good transmission. Participants can buy these radio’s for a subsidised price of maximum USD15. (we are still looking for a cheaper option)
Because of our limited human resource, we can only provide technical assistance to those who have purchased the radio with PHM.
Do you wish to buy a radio from us?:
*
Yes
No
Language:
Language neutral
Arabic
English
French
Spanish