<html><head> <meta name="Generator" content="Igor Kondrashin"> <title>World Philosophical Forum web-site</title> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <style> .table-border{ /*border-color: rgb(255, 255, 255);*/ border: 5px solid #FFFFFF; border-bottom-color:#8d8d8d; border-right-color:#8d8d8d; } ul.footmen { margin: 0 0 0 650px; padding: 4px; } ul.footmen li { display: inline; margin-right: 5px; padding: 3px; } ul.footmen li a { text-decoration: none; color: white; } ul.footimg { margin: 115 0 0 605px; padding: 4px; } ul.footimg li { display: inline; margin-right: 5px; padding: 3px; } </style> <script type="text/javascript" > var smoothJumpUp = function() { if (document.body.scrollTop>0 || document.documentElement.scrollTop>0) { window.scrollBy(0,-50); setTimeout(smoothJumpUp, 20); } } </script> <div id="topcontrol" style="position: fixed; z-index: 100500; bottom: 144px; right: 45px; cursor: pointer; opacity: 1; " title=" =0G0;C AB@0=8FK"> <a href="javascript:smoothJumpUp()"> <img src="../../images/bnr/arr.gif"> </a> </div> </head> <body bgcolor="#EEEEDD" background="../../images/bkgr15.jpg" text="#000000" link="#0000AA" vlink="#AA0000" alink="#8800AA"> <div class="container"> <center> <p>&nbsp;</p> <!--Section Begins--> <p><table width="545" cellpadding="0" cellspacing="4" bgcolor="#EECC99" background="../../images/bkgr09.gif" border="5" class="table-border"><tr> <td align="center" valign="middle"><table cellpadding="3" cellspacing="3" border="0"><tr><td width="75" align="center" valign="middle"><img src="../../images/earth02.gif" height="70" width="70" border="0"></td> <td width="535" align="center" valign="middle"><font size="5" color="#006500"><b>WORLD PHILOSOPHICAL FORUM</b></font></td></tr></table></td> </tr></table></p></td></tr> <font style="color: #006300; font size: 23px; font-family: tahoma"><b>"Global citizenship  from UN (UNESCO) civic educational initiative<br>to its WPF practical implementation"</b> <p><img src="../../images/bar61.gif" height="7" width="365" border="0"></p> <p><table width="450" cellpadding="0" cellspacing="4" bgcolor="#EECC99" background="../../images/bkgr12.jpg" border="5" class="table-border"><tr> <td> <table width="430" cellpadding="7" cellspacing="7" border="0"><tr><td width="430" align="center" valign="middle"><font size="5" color="#004500"><b>Earth-XXI Citizenship<br>APPLICATION</b></font></td></tr></table> </td></tr> </tr></table> </td></tr> <td>&nbsp;</td><p> <tr><td> <table width="780" cellpadding="4" cellspacing="0" border="0"> <tr><td width="3" align="center" valign="middle"></td><td width="900" align="center" valign="middle"><font size="4" color="#004500">Please, note that applications should be filled out in English only<br> and be submitted electronically by e-mail to:<br> <a href="mailto:info@wpf-unesco.org" target="_blank">info@wpf-unesco.org</a> & <a href="mailto:ikondrashin@ya.ru">ikondrashin@ya.ru</a> </td></tr> <td>&nbsp;</td> <tr><td width="3" align="center" valign="middle"></td><td width="900" align="center" valign="middle"><font colspan="5" color="#005400"><b>REGISTRATION FORM</b></font></td></tr> <tr><td width="3" align="center" valign="middle"></td> <td width="720" align="center" valign="middle"><font style="color: #006300; font size: 23px; font-family: tahoma"> <b>Your personal details:</b> </td></tr> <table width="750" border="0" cellpadding="0" cellspacing="0"> <tr> <td align="left" valign="middle"> <blockquote></center> <p style="margin-top:23px;"><font size="4" color="#004500"> <ul compact="compact" type="square"> <li> Surname - </li> <li> Given name(s) - </li> <li> Country & City of residence - </li> <li> Date of birth - </li> <li> Country of birth - </li> <li> Address of residence - </li> <li> Present nationality and citizenry - </li> <li> E-mail address - </li> <li> Telephone number - </li> <li> Company or Organization you are working now - </li> <li> Civil status and/or Position - </li> <li> Have you finished a common education? Where and when? - </li> <li> If you have graduated - what University, or college ? - </li></p> <li> Have you passed any studies in a national civic educational system? (if) - </li> <li> Have you checked the level of your CONSCIOUSNESS on <a href="http://wpf-unesco.org/eng/dem/diage.htm"> WPF website</a> ?<br> What is your <b>CQ</b> = _____ ?, and <b>MQ</b> = _____ ?</li> <li> Are you a Member of the WPF <a href="http://wpf-unesco.org/eng/intmov.htm">"DIALECTIC" organization</a> - &nbsp; (YES &nbsp; or &nbsp; NO ?) - </li> <li> Have you learned the <a href="http://glob-use.org/eng/socr-sch/wczne.htm">MINIMUM of Earth-XXI citizen's knowledge</a>, which every individual on the Earth should study for certain ? - &nbsp; (YES &nbsp; or &nbsp; NOT yet ?) - </li> <li> If not yet, please, do study them yourself online from the <a href="http://wpf-unesco.org/eng/socr-sch/socr-sch.htm">USE/WPF web-site</a> </li></p> <li> Please, note that you can be inaugurated as the Citizen of the Earth-XXI and receive your <a href="http://wpf-unesco.org/eng/socr-sch/brans.htm">Civil Certificate</a> with your personal ID number PERSONALLY - in Athens, Greece, during the Annual Dialectical Symposium, or at your country WPF National Branch, or DISTANTLY - through your E-mail - what you prefer?</li> <li> Have you paid the Earth-XXI Citizenship registration fee and at what amount (see the payment details below) ? - </li> <li> Please, enclose your photo to issue your Earth Citizen Identity Card with your personal ID number</li></p> </ul> </p> <p>Write all the above information details here:</p> </table> </blockquote> <p> <tr> <td valign="top" class="text">&nbsp;</td> <td colspan="3"><textarea name="Text" cols="45" rows="10"></textarea></td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td width="35%">&nbsp;</td> <td width="13%">&nbsp;</td> <td width="35%">&nbsp;</td> </tr> </table></td> </tr> </p> <table width="720" border="0" cellpadding="0" cellspacing="0"> <tr> <td align="left" valign="middle"> <p><dd><font size="4" color="#004500">Save all the above data in Word format text and send this page to WPF at: <br><dd><a href="mailto:info@wpf-unesco.org" target="_blank">info@wpf-unesco.org</a>, <a href="mailto:ikondrashin@ya.ru">ikondrashin@ya.ru</a> </p> </table> </td></tr> <p> </p> <center> <p><b>The payment details:</b></p> <p><table width="725" cellpadding="12" cellspacing="4" bgcolor="#EECC99" background="../../images/bkgr07.jpg" border="5" class="table-border"><tr> <td width="720" align="left" valign="middle"><font size="4" color="#003500"> One-time registration fee for the right to become the <b>Citizen of the Earth-XXI</b> is:<br> 1) for <b>one person</b> (individual) = <b>100 euro</b>, including the cost of the <i>Civil Certificate, Decoration, Identity card</i> with the personal ID number of the Citizen of the Earth-XXI as well as membership fee in International movement "DIALECTIC" - "WISDOM, REASON and MORALITY - back to Humanity" of the WORLD PHILOSOPHICAL FORUM NGO Organization.<br> 2) for <b>2 - 3</b> persons (group registration) = <b>75 euro</b> per person;<br> 3) for <b>4 - 5</b> persons (group registration) = <b>50 euro</b> per person;<br> 4) for <b>6 - 7</b> persons (group registration) = <b>30 euro</b> per person;<br> 2) for <b>8 - 10</b> persons (group registration) = <b>25 euro</b> per person;</p> Registration fee to become a <b>Citizen of the Earth-XXI</b> is effected for those Earth inhabitants, who have studied the <i>MINIMUM of Earth-XXI citizen's knowledge</i> distantly from WPF web-site and wish to receive his Civil certificate and ID card with the personal ID number through his E-mail.</p> The total amount in <b>Euro</b> for individual or group registration can be transferred to <i><b>WPF Bank account</i></b> in:<br> <b>ALPHA BANK</b>, Athens, Greece,<br> <b>IBAN</b> account No.: <b>GR06 0140 1980 1980 0278 6037 120</b><br> Swift code: <b>CRBAGRAA</b><br> to the name of WPF President Igor Kondrashin</p> If you like, you have the possibility to pay your <b>Earth-XXI Citizenship</b> registration fee (individual or total group) from your debit or credit card:</p> <center> <form action="https://www.paypal.com/cgi-bin/webscr" method="post" target="_top"> <input type="hidden" name="cmd" value="_s-xclick"> <input type="hidden" name="hosted_button_id" value="884F5745HTBBQ"> <input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_subscribeCC_LG.gif" border="0" name="submit" title="PayPal - The safer, easier way to pay online!"> <img title="Earth-XXI Citizenship registration fee" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1"> </form> </center> We would be greatful to you if you send the information about the transference of your amount with your name to the WORLD PHILOSOPHICAL FORUM Organization at <a href="mailto:info@wpf-unesco.org> target="_blank">info@wpf-unesco.org</a> & <a href="mailto:ikondrashin@ya.ru">ikondrashin@ya.ru</a> so that we can begin the procedure of assigning you the status of "Citizen of the Earth-XXI".<br> Thank you for your understanding.</font> </font></td></tr></table></td> </tr></table></p></td></tr></p> <font style="color: #006300; font size: 18px; font-family: tahoma"> <strong>Important Notice:</strong> By submitting this form, I hereby agree to the <a href="brans.htm">TERMS of becoming Earth citizen</a>, <br>I consent to receive communication regarding the next steps of the procedure at my electronic address notified above and <br>I authorize the BOARD of the Socratic Philosophical school to send me information that can be necessary and/or interesting for me.</p> </table> </td></tr> <p><img src="../../images/bar62.gif" height="11" width="609" border="0"></p> <div style="width: 100%; position: absolute; left: 0px; background-image: url('../../images/fon/footer.png'); height: 105px; padding: 0px 0px 7px;"> <img src="../../images/bnr/wff.png" style="position: relative; margin-left: -480px; ; padding: 20px;"> <p style="margin-left: -360px; margin-top: -16px; font:14px georgia;"><font size="3" color="#00ffff">All rights reserved <font size="4">&copy; wpf-unesco.org</p> <div style="margin-left: -80px; margin-top:-90px;"> <ul class="footmen"> </font><li><a href="../../index.htm">Home</a></li> <li><a href="../symbf.htm">Motto & Symbols</a></li> <li><a href="../indexe.htm">Symposia</a></li> <li><a href="../wcitiz.htm">Civic Education</a></li> <li><a href="socr-sch.htm">Citizenship</a></li> <li><a href="../contr.htm">Support</a></li> <li><a href="../contct.htm">Contact us</a></li> </ul> </div> <div style="margin-left: 290px; margin-top:-105px;"> <ul class="footimg"> <li><a href="http://www.facebook.com/"><img src="../../images/bnr/fb.png"></a></li> <li><a href="http://digg.com/"><img src="../../images/bnr/digg.png"></a></li> <li><a href="http://twitter.com/share"><img src="../../images/bnr/twitter.png"></a></li> <li><a href="https://www.youtube.com/"><img src="../../images/bnr/ytb.jpg"></a></li> <li><a href="http://www.rssreader.com/"><img src="../../images/bnr/rss.png"></a></li> </ul> </div> </div> </body></html>