APMF – Speaker/ModeratorPNGCJE2024-06-11T12:03:19+10:00 10th ASIA PACIFIC MEDIATION FORUM REGISTRATION Chair/ModeratorΔTitle- Select -Chief JusticeDeputy Chief JusticeJusticeProf.Dr.Mr.Mrs.Ms.Given NameLast NamePost Nominal Title/sAddressAddress LineCityZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone NumberEmailMode of Training: Presentation Materials - Hard Copies Powerpoint Presentation Both (Hard Copies/Powerpoint) Others - SpecifySpecify here:*APMF team is willing to provide assistance in the preparation of your presentation materials. Hence, please forward the presentation materials by Monday 5th of August 2024.Please tick as requiredI will attend the conference: (Select one option) Days (August 19th - 20th, 2024)Attend 1 Day- Select -Day 1 (19th August)Day 2 (20th August)Day 3 (21st August)Attend 2 Days:- Select -Day 1 & Day 2 (19th & 20th August)Day 1 & Day 3 (19th & 21st August)Day 2 & Day 3 (20th & 21st August)*Note: The Advance Mediation Skills and PNG National Mediators Conference are different programs apart from the APMF Conference. These programs are for PNG accredited Mediators and others who wish to attend. They can register for either one of them or both.I will attend the Advanced Mediation Skills Training on 14th - 15th August 2024. Yes NoI will participate in the One Day Conference for Mediators from Papua New Guinea on August 16, 2024. Yes NoI will attend the Welcome Dinner on the 18th August 2024 Yes NoSpecial dietary requirements: Vegetarian OthersI will attend Closing Dinner on 21st August 2024 Yes NoPlease specify:I will attend Tour/Sightseeing on 23rd August 2024 Yes NoTour/Sightseeing Sites: Experience Destination Loloata Island Resort Port Moresby Habour CruiseI will need access to a Prayer Room throughout the course of the APMF Conference Yes NoI will be accompanied: Yes NoI will require accommodation at: (Select one option for preferred Hotel for APMF special rates)Ela Beach Hotel Ela Beach HotelEla Beach HotelGrand Papua Hotel Grand Papua HotelGrand Papua HotelCrown Residences Crown ResidencesCrown ResidencesNot Required Not RequiredAccompanying Guest DetailsTitle- Select -Chief JusticeDeputy Chief JusticeJusticeProf.Dr.Mr.Mrs.Ms.First NameLast NameSpecial dietary requirements: Vegetarian OthersPlease specify:Payment DetailsThe registration fees are as follows: Speakers/Facilitators to pay half of the registration fee at USD $100.00; Accompanying persons pay a fee of USD $100.00, if they wish to be included in the opening, gala and other dinners and wish to participate in the accompanying persons program; Registration fee for all other participants is USD $200.00. Registration fee for PNG attendees USD $150.00. Online attendees pay a registration fee of USD $150; Discount of USD $50.00 will apply across the board for early birds up until 30th June 2024 Submit form and proceed to payment portal.Should you have any questions or require further clarification, please do not hesitate to contact us at: apmf24@pngjudiciary.gov.pg | jkalamo@pngjudiciary.gov.pg | (+675) 324 5515.MODERATOR/CHAIR ModeratorSubmit