Adobe FormsCentral

ONLINE REGISTRATION
Asia LEDS Forum 2016: Mobilizing Finance for Implementing Priority Actions

June 27-29, 2016 in Hanoi, Viet Nam
Instructions: Please complete this form and submit before June 15 , 2016 to confirm your place at Asia LEDS Forum. When you submit this registration, you will receive a confirmation receipt at the e-mail address you provide, and the organizing team will follow up with additional details.

All fields marked with an asterisk ( * ) are required.
I. GENERAL INFORMATION
Gender *

Female Male
Country *
Title (e.g., Dr., Mr., Ms.) *
Full Name (Please enter full name as it appears on your passport) *

First Name Last Name
Which sector do you work in? *

Agriculture, Forestry and Other Land Use (AFOLU) Energy Finance Planning Sub-national
Organization Name *
Type of Organization *
Position Title *
Email Address *
Telephone Number (Please include country code)

II. TRAVEL AND LOGISTICS INFORMATION
Please indicate who will cover the costs of your travel, as stated in the invitation letter you received. (If your letter does not specify a sponsor, please select "Self-funded"). *

Self-funded Climate and Development Knowledge Network (CDKN) Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) USAID Building Low Emission Alternatives to Develop Economic Resilience and Sustainability (B-LEADERS) Project USAID Low Emissions Asian Development (USAID LEAD) Program Vietnam Ministry of Planning and Investment
Instructions for sponsored participants (USAID LEAD)

Upon submitting this online registration, sponsored participants will be contacted by the following individuals with instructions related to flight and hotel bookings. Participants funded by the USAID LEAD Program: Please see "Logistics Instructions" included with your invitation letter. Please email Ms. Panicha Vornpien at Panicha.Vornpien@icfi.com with any questions.
Instructions for self-funded participants lodging in Hanoi

For all self-funded participants, you are responsible for making your own accommodation arrangement in Hanoi. If your hotel preference is the Sheraton Hanoi Hotel (venue of the forum) and would like to obtain the negotiated room rate for the workshop, kindly fill the hotel booking form and direct your completed form and inquiries to the contact person identified below. If you have difficulty in accessing the form, kindly request for the hotel booking form from any of the contact persons identified in the "General Inquiries" section.

Ms. Khanh Vu

Director of Catering & Event Management

Tel: + 844 3719 9000

Mobile: +849 0453 8118

Fax: +844 3719 9001

Email: Khanh.Vu@sheraton.com
General Inquiries

For general inquiries regarding the Forum, please direct them to the following:

Mr. Ritwick Boyi

Administrative Officer

ICLEI - South Asia Southern Centre

Tel: +91-40-4220 0026

Fax: +91-40-4003 4010

Mobile: +91-99088 44066

Email: ritwick.boyi@iclei.org

Ms. Pamela Cabacungan

Project Assistant

ICLEI - Southeast Asia Secretariat

Telefax: (632) 426-0851

Telephone: +63 2-261-3912

Email: pamela.cabacungan@iclei.org

Ms. Qiaoqiao Xu

Program Officer

ICLEI - East Asia Secretariat

Phone: +82 70 8857 0162

Email: qiaoqiao.xu@iclei.org

III. SURVEY ON PARTICIPANT INTERESTS
Please answer the following questions to help us tailor this Forum to your interests. Responses will not be attributed to any single individual or organization.
1. Please share one success (if any) in implementing LEDS in your area of work resulting from accessing climate finance sources. *
2. Please share one challenge (if any) in implementing LEDS in your area of work resulting from accessing climate finance sources. *
3. Expectations: What are key questions that you would like to have answered at this Forum? (We will try to address questions as possible, within the theme of the Forum.) *
4. Did you attend the previous Asia LEDS Forums? Kindly check applicable option(s). *

Asia LEDS Forum 2012 in Bangkok, Thailand Asia LEDS Forum 2013 in Manila, Philippines Asia LEDS Forum 2014 in Yogyakarta, Indonesia No
5. If you attended, how did the previous Forums help your LEDS activities? *
6. Has your organization received any technical assistance and/or financial support from other organizations for LEDS? *

Not applicable No
7. Do you need any technical assistance on LEDS development? If yes, please describe.

V. POST-FORUM EVENT
Would you be interested to join the Asia LEDS Partnership Regional Workshop on "Mobilizing Investment for Grid-Connected Clean Energy in Asia" on June 30 to July 01, 2016? *

Not Applicable No
*To continue the sharing, learning, and collaboration, and to stay up to date on offerings of the Asia LEDS Partnership, we encourage you and/or your organization to become a member. Please consider joining us, by completing a cost-free membership sign-up form at: http://form.jotform.me/form/50251511485448
Please click the button below to submit your registration. Thank you!
Should be Empty: