_________________ PRELIMINARY OSCE PA SHORT-TERM OBSERVER REGISTRATION FORM PARLIAMENTARY ELECTIONS IN ALBANIA,3   JULY 2005 Please complete and return this form to the Vienna Liaison Office (Fax: +43152 22 684) with a copy to the International Secretariat   by 17 May 20 05 Surname:    ................................ ................................ ..... First Name:    ................................ ................................ . Passport Number: ............................  Diplomatic Passport?  (yes/no).................................... (Please fax a copy of your passport to the International Secretariat with this form) Citizenship:    ................................ ................................ . Date of Birth:    ................................ .............................................................. Arrival Date:…………………………Arrival Time:  .............................................................. Flight Number:    ................................ ........................................................... Departure Date:................................  Departure Time:........................................................... Flight Number:    ................................ ........................................................... Languages:    ................................ ................................ .. (Please remember: English is the official language of the Delegation) Preference for Place of Deployment:........................................................................................ Preference of Deployment Partner:.......................................................................................... Embassy to provide airport transportation? (Yes/No):.......................................................... Car/driver needed on election day? (Yes/No): ……………………………………………….. Interpreter needed on election day? (Yes/No): ………………………………………………..