International Human Rights Commission

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TRAINING COURSE

FOR VOLUNTEERS OF IHRC

A-PERSONAL INFORMATION

First and Last Name *

Country: *

SMM IHRC ID Card No. V*

E-mail*

Repeat E-mail*

Mobile ( +....)*

I Apple to participation in

TRAINING COURSE for IHRC VOLUNTEERS

I have completed the course at the level

-
1
2
3

Certificate number

TRAINING COURSE for IHRC VOLUNTEERS

Level 1 for USD 40,-
Level 2 for USD 30,-
Level 3 for USD 40,-
Level 4 for USD 50,-

Confirmation of payment.*

Electronic signature ( name and surname)*

Check word:

INTERNATIONAL HUMAN RIGHTS COMMISSION La

Address:118 00 Prague, Prague 1- Hradcany Loretanskie namesti 109/3,

Czech Republic

Company ID: 05967023

File number: N 1754 maintained by the Municipal Court in Prague

MONETA Money Bank, a.s.

Vyskocilova 1422 / 1a, Praha 4 - Michle, 140 28, Czech Republic,

ICO: 25672720 registered at
MS in Prague, Section B, Insert 5403

SWIFT for BIC: AGBACZPP;

Current account CZK
IBAN: CZK: CZ12 0600 0000 0002 2262 2462
Current account EUR
IBAN:EUR CZ22 0600 0000 0002 2383 2357

Current account USD
IBAN: USD CZ46 0600 0000 0002 2383 2410