REGISTRATION FORM[Development Partners]

Please complete this form and submit by 4November 2016 to:Full Name: (Mr./Ms./Mrs.)______________________________________ (Family Name/Surname),

______________________________________ (First Name/Given Name)

Designation/Job Title: _________________________________________________________________

Organization: __________________________________________________

Country: ____________________________________________________________________________

Official Address: ______________________________________________________________________

Tel. No.: _________________________________Mobile No.:_________________________________

E-mail: __________________________________Fax No.: ____________________________________

Travel Details:Arrival Date: ___________________ Flight No.: ________________ Arrival Time:_________________Departure Date: ________________ Flight No.: ________________ Departure Time:________________

Hotel Accommodation: [] Le Meridien Chiang Rai Resort (Conference venue)

* For reservations: Ms. Pitchanut Tawabutr, Sales ManagerTel: +66-2653-3508, e-mail: HYPERLINK "mailto:Pitchanut.Tawabutr@lemeridien.com"Pitchanut.Tawabutr@lemeridien.com[ ]Dusit Island Resort Chiang Rai * For reservations: Ms. Anchalee / Ms. MayuraTel: +66-53 607-999,Fax : +66-53 715-801, e-mail:

HYPERLINK "mailto:dicr@dusit.com"dicr@dusit.com[ ] Other Hotel (Please specify name of hotel.)

Events to Attend (Please tick all applicable events.):[ ] Development Partners’ Meeting, 30 November 2016, 1:30-4:30PM (includes lunch at 12:30PM)[ ]Gala Dinner hosted by The Royal Thai Government, 30November 2016, 7:30-9:30PM[ ] 21stMinisterial Meeting, 1 December 2016, 9:00AM-12:30PM(includes lunch at 12:30PM)[ ]Site Visit of Doi Tung Development Project, 1 December 2016 2016, 1:30-5:00PMHYPERLINK "http://www.doitung.com/en/about.php"http://www.doitung.com/en/about.php* Free round-trip transportation from Le Meridien Resort will be provided.

PAGE NUMPAGES with copy to:

National Economic and Social Development Board of Thailand

Mr. Vudthidech ChamnikijFax:+662 280-8005E-mail: HYPERLINK "mailto:vudthidech@nesdb.go.th"vudthidech@nesdb.go.thMs. Prembun VorasapakarnE-mail: HYPERLINK "mailto:prembun@nesdb.go.th"prembun@nesdb.go.thMr. Ongart Rukkhawattanakul E-mail: HYPERLINK "mailto:prembun@nesdb.go.th"ongart@nesdb.go.thAsian Development Bank

Mr. Shunichi HinataFax: +632 632-2226E-mail:HYPERLINK "mailto:shinata@adb.org"shinata@adb.orgMs. Rowena SancioFax: +632 632-2226E-mail:

HYPERLINK "mailto:rsancio.consultant@adb.org"rsancio.consultant@adb.orgRoom TypeRate

Deluxe Garden View THB 5,000 net/per night

Grand Deluxe THB 6,000 net/per night

Room TypeRate

Deluxe THB 3,200 net/per night

Landmark SuiteTHB 4,500 net/per night

Landmark TwinTHB 5,800 net/per night

Island SuiteTHB 5,800 net/per night

*Dusit Island Resort is 4.6 km. away from Le Meridien Resort and is about 10 minutes by car. Registered participants staying at Dusit Island Resort will be provided free shuttle service going to and from Le Meridien Resort.

21st Greater Mekong SubregionMinisterial Conference

30 November - 1 December 2016 }xsx^I4(rararUrt_®pa]XPXPzsf^fS{mbTI>xgTDTDTDT Chiang Rai, Thailand

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