NOMINATED RESIDENT ONBOARDING FORM

Please complete the below form so we have all of the relevant information.

Please note: If you have been nominated as part of a duo or collective, each individual will need to complete a form.

Professional Name

First Name

Last Name

Nominated by

Pronouns

Phone

Country

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website

http://

Professional Biography

If you have been nominated as part of a duo or collective please also include details of your collaboration.

A description of the work you intend to do in Svalbard

Photo credit

Social Media Accounts

Only include these if your accounts are for professional use

Instagram

Facebook

Twitter

Vimeo

For Travel Booking

Name as shown on passport

First Name

Last Name

Nationality

Date of Birth

YYYY

Passport Number

Emergency Contact Name

First Name

Last Name

Emergency Contact Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Phone

Country

(###)

###

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