Personal Data First Name* Last Name* Job title* Communication Email* Mobile Phone Address Organisation/Company* Department Street* Postal Code* City* Please type the first letter of your country or select it directly in the list. Country* Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong, China Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands North Macedonia Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin, French part Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten, Dutch part Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor l'Este Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Nations Interim Administration Mission in Kosovo United Nations Interim Administration Mission in Kosovo United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Billing address, if different Additional Information Please answer the additional questions below to help us better know the audience willing to attend the EGEA conference. How did you hear about the EGEA conference?* Previously attended APRIFEL website or social media Professional press Newsletter EGEA By word of mouth (friend or colleague) Other Your field of activity:* Scientific Research Health sector Education sector Fruit and Vegetables Sector Other Please indicate your age range: < 30 ≥30 and <40 ≥40 and <50 50 and more Your travel For this edition of the EGEA conference, the organizing committee would like to measure the carbon footprint of participants' travel to the conference venue. Please indicate your city of departure* Please indicate your main mode of transport to the Conference* Plane Train Electric car Thermal car Coach Motorbike Local or regional public transportation Other Travel smart by: · choosing low-carbon modes of travel: find out how much CO2 you emit during your trip depending on the mode of travel you choose: monimpacttransport.fr · Carpooling with other delegates using the conference carpooling platform Dietary needs Please specify if you have any dietary restrictions.* No restriction Vegan Vegetarian Gluten free Other Accessibility In order to welcome you in the best conditions, please let us know if you need special assistance during the conference Most of the presentations and discussions will be in English. Simultaneous translation from English into French will be provided. Please let us know if you need a translation headset. Yes No Letter of Invitation I would like to receive an invitation letter to support my visa application. Please note that the invitation letter does not financially obligate the Conference organizers in any way. The invitation letter does not guarantee an entry visa to Spain.* Yes No