Central Banking Seminar Application - Federal Reserve Bank of New York


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Central Bank Seminar Registration Form

Workshop: Thursday-Friday, October 15-16, 2009 Seminar: Monday-Friday, October 19-23, 2009

DO NOT use UPPERCASE format to complete the form as it is not compatible with our system

		*Required
Salutation:	*

First name:	*

Last name:	*

Central Bank name:	*

Address:	*

	*



Country:	*

Phone:

Fax:

E-mail:	*

Job title:	*

Department:	*

Date appointed to current position:

	*

In order to help with the selection process, please give a complete explanation of your current responsibilities.

	*

Suggested topic(s) you would like covered at the course

	*

Will you be attending the October 15-16 two-day workshop prior to the seminar?

		Yes No

Will you be attending a specialized course following the seminar?

		Yes No



This application will not be processed unless we receive a statement of endorsement from your governor. You will be advised of the status of your acceptance after the August 28th closing date.