PACE/ICLN ICC Moot Competition Registration Form March 20-21, 2015 Please visit our website: http://www.law.pace.edu/icc Please note that the deadline for registration is November 1, 2014. 1. University Contact Information University Name: Country: Address: Phone Number: Fax Number: Homepage University 2. Team Coach Contact Information E-mail Address: Address of Correspondence: (If the same as the university above, proceed to next question) Last Name: First Name: Gender: Academic Position: Contact: Professor Matthew Brotmann Director of International Law Programs Pace Law School 78 North Broadway, White Plains, NY 10603, USA (914) 422-4223 [email protected] PACE/ICLN ICC Moot Competition Registration Form March 20-21, 2015 Please visit our website: http://www.law.pace.edu/icc Please note that the deadline for registration is November 1, 2014. 3. Team Member Information (Teams shall be composed of between 3 to 5 people) IMPORTANT! Students holding a master degree in Law (L.L.M) are not eligible for this competition. Team Member # 1: Last Name: First Name: Gender: Year of Study/Highest Degree: Date and Place of Birth: Nationality: Country: E-mail Address: Team Member # 2: Last Name: First Name: Gender: Contact: Professor Matthew Brotmann Director of International Law Programs Pace Law School 78 North Broadway, White Plains, NY 10603, USA (914) 422-4223 [email protected] PACE/ICLN ICC Moot Competition Registration Form March 20-21, 2015 Please visit our website: http://www.law.pace.edu/icc Please note that the deadline for registration is November 1, 2014. Year of Study/Highest Degree: Date and Place of Birth: Nationality: Country: E-mail Address: Team Member # 3: Last Name: First Name: Gender: Year of Study/Highest Degree: Date and Place of Birth: Nationality: Country: E-mail Address: Contact: Professor Matthew Brotmann Director of International Law Programs Pace Law School 78 North Broadway, White Plains, NY 10603, USA (914) 422-4223 [email protected] PACE/ICLN ICC Moot Competition Registration Form March 20-21, 2015 Please visit our website: http://www.law.pace.edu/icc Please note that the deadline for registration is November 1, 2014. Team Member # 4: Last Name: First Name: Gender: Year of Study/Highest Degree: Date and Place of Birth: Nationality: Country: E-mail Address: Team Member # 5: Last Name: First Name: Gender: Year of Study/Highest Degree: Date and Place of Birth: Nationality: Contact: Professor Matthew Brotmann Director of International Law Programs Pace Law School 78 North Broadway, White Plains, NY 10603, USA (914) 422-4223 [email protected] PACE/ICLN ICC Moot Competition Registration Form March 20-21, 2015 Please visit our website: http://www.law.pace.edu/icc Please note that the deadline for registration is November 1, 2014. Country: E-mail Address: 4. Additional Information: 5. Registration Fee Registration Fee: $500. A confirmation will be sent upon receipt of registration form and fee. Please send registration form and fee to: Professor Matthew Brotmann Director of International Law Programs Pace Law School 78 North Broadway White Plains, NY 10603, USA Please make checks out to Pace Law School ICC Moot and indicate in the memo line: L6135. Contact: Professor Matthew Brotmann Director of International Law Programs Pace Law School 78 North Broadway, White Plains, NY 10603, USA (914) 422-4223 [email protected]
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