Brazzaville Symposium
APLICATION FORM FOR THE PARTICIPATION TO THE BRAZZAVILLE SYMPOSIUM
e-mail : southcorporationjournalism@yahoo.co.uk
IF YOU ENCOUNTER SOME DIFFICULTIES TO SEND THE FOLLOWING FORM,PLEASE GO TO THE SECTION GUESTBOOKwhich is under the LOGO South Corporation Journalism in order to paste the form there. If you can't ask the webmaster in your cybercafé where you are working now to show you how to do
PROPERLY SIGNED BY THE APPLICANT AND ENDORSED BY THE PRESIDENT OF THE SECTION-id est the President of your country
SOUTH CORPORATION JOURNALISM, a syndicate and association of journalists from 143 southern countries, is designed to promote journalism in ASIA, AFRICA and SOUTH AMERICA, and to reflect the realities and capacities of the called underdeveloped countries or the third world.
One who is journalist in any kind of media(newspaper, radio, T.V., Internet) freelance or not, and who knows that AFRICA, ASIA and SOUTH AMERICA have challenges to face, who enters into full fellowship with statutes and rules of south Corporation Journalism is eligible to membership and can participate in the forwarding SYMPOSIUM ON THE SOUTERN MEDIAS to be held in Brazzaville on December 16-18,2004.
FORM FOR THE PARTICIPATION
I..........................................(name of the President of the section(=country) cordially approve the following applicant.
I,..............................................
(name of the applicant) make application for participation.
SEX (Male-FEMALE):
I am a journalist of.................................................................................................
(name of the organ)
Office address
Name of the newspaper, Radio, TV...
........................................................................................................................................................................................................
Street................................................................................................................................................
Town.................................................................................................................................................;
STATE OR COUNTRY:.................................................................................................................................................
Phonenumber...........................................................................................................................................
Mobilephone...........................................................................................................................................
E-mail:
Fax:
Website: http://
PARTICIPATION
Date of arrival in Brazzaville:
Transportation means ( airways, boat, train,roads ) :
NUTRITION (Vegetable diet or special meal ):
Date
Signature of the aplicant
Countersigned ( signature )by the President of the section.
