Carretera de Vallvidrera, 43-45 Tel. +34 93 406 73 00 BARCELONA 08017 Red Europea de Formación Judicial (REFJ) European Judicial Training Network (EJTN) Réseau Européen de Formation Judiciaire (REFJ) Application form for the course Virtual Course on Judicial Cooperation in Criminal Matters December 2012 – October 2013 Last name First name Sex Title Mr. Ms. Function Office address Postal Code / Town Country -- Select an option -- Telephone number Fax E-mail Work language Spanish English French (Place and date) As the number of participants is limited, you are requested to send the completed Application form by e-mail, through the EJTN contact point, no later than 23 November 2012. Con el apoyo de la Unión Europea With the support of The European Union Avec le soutien de l’Union Européenne