International Visitors Program

Delegation

Address *

Address line 1 *Address line 2

City *

State *

Postcode *

Country *

Website URL *

Number of delegates *

Please briefly describe your institution or organisation *

Head delegate

First name *

Last name

Email *

Phone number *

Mobile *

Consulate

Name of Consulate General Office/Embassy* *

Address *

Address line 1 *Address line 2

City *

State *

Postcode *

Country *

Contact name

First name

Last name

Email *

Phone

Visit

Proposed start date/time *

Proposed end date/time *

Visit objective - What do you want to achieve and what is the outcome of this visit? *

Please describe your delegation (profession, areas of interest etc) *

Are there any specific areas that you would like to discuss during your visit? *

Are there any specific sites your delegation would like to visit? Please include why you would like to visit them. *

Does the delegation have any other official visits arranged? *

YesNoNot sure

Accommodations

Please detail any transport arrangements that have been made. *

Please detail any accommodation arrangements that have been made. *

Does your delegation have travel insurance? *

YesNo

We highly recommend that the visiting delegation takes out travel insurance to cover for unforeseen circumstances.

Are there any dietary requirements from the delegation? *

Does the delegation require any translating services? If so, what language? *

Delegate members

Please upload a professional biography or CV for each delegation member as a zip file.

How to create a zip

For information on how to create a zip file, refer to:

Email

Alternatively, email any files to moh-corporatecomms@health.nsw.gov.au

File upload

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