World Bank Game Design Competition on Street Addressing
Registration and Expression of Interest Form

1. Full name ( First Last):

2. Title (Ms./Mr.):

3. Address (street, city, country):

4. Email:

5. Phone number(country code, area code, local number) :

6. Screen Name (Nickname)

7. I agree to the terms and requirements of the Competition (Yes/No):

8. Attach a cover letter here:





(Please fill out this form and email it back to Ms. Yarissa Sommer at ylyngdoh@worldbank.org.)