INDIVIDUAL - REGISTRATION
( Full Member Status & Subject to "Vetting" )

Please complete the following fields with *

Picture in Profile Page * File:

Resume(cv) in Profile Page * File:

Select Login Name *:
First Name *:
Last Name *:
E-mail *:
Web address/Home Page :

Address *:  
City *:
State*:
ZipCode *:
Phone ( only numbers) *:
Select # 3 additional countries *:
Select "most" appropriate area *:
Date of Birth *:
Gender *:
Description of your occupation *:  
Your Computer IP number:
(For security reasons)

You shall be entitled to display the member vignette on your letter heading and website.

All applications may be eligible to represent the Netherlands on the ICOCR - The International Court of Conflict Resolution under charter with Corporations Canada under # 980748-9

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