Conference Registration

International Multi-Sectoral Conference on Poverty & Social Impact. Please complete all sections below accurately.

Delegate Information

Title

First Name & Middle Initial

Assigned Officer ID (Optional)

Last Name

Date of Birth

Place of Birth

Country of Residence

Personal & Contact Details

Nationality

Marital Status

Permanent Address

Phone Number

Email Address

Languages Spoken

Organization / Group Name

Emergency Contact

Visa Support Application

Organizing Committee assistance to facilitate visa application for delegates.

Full Name (As on Passport)

Passport Number

Sex

Place of Issue

Date of Issue

Date of Expiry

Visa Pickup City (US Embassy)

Visa Pickup Country

Additional Information & Preferences

Do you have relatives in the U.S.A. / Mauritius? (If yes, provide details)

Religion

Dietary Restrictions

Food Allergies

Do you smoke?

Nearest International Airport

Have you ever been arrested or convicted of a crime? (If yes, explain)

Experience with culturally diverse situations

Hotel Confirmation

Registration is not complete without proof of accommodation. Please enter your hotel reservation code below. This is required for the "Letter of Invitation" for your visa.

Hotel Reservation Code *

By submitting this form, you certify that all information is correct. You understand that submission does not guarantee a visa, which is at the discretion of the Embassy.

Contact Information

2001 N Adams St
Arlington, VA 22201, United States

+1(833)-599-0730

support@gaese.online

Deadline: April 18, 2026