OSCE PA SHORT-TERM OBSERVER REGISTRATION FORM

Referendum in Montenegro, Serbia and Montenegro, on May 21, 2006

 

Please complete and return this form to the

Vienna Office of the International Secretariat by  11 April  2006

 

Surname:.....................................................................................................................................

 

First Name:..................................................................................................................................

                                                                          

Passport Number:............................ Diplomatic Passport?  (yes/no)..................................

(Please fax a copy of your passport to the International Secretariat with this form)

 

Visa needed at the airport (yes/no)……………………………………………………………

 

Citizenship:.................................................................................................................................

 

Date of Birth:..............................................................................................................................

 

Place 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 (if any):...........................................................................

 

Embassy Support:......................................................................................................................

(Please indicate if your local Embassy will provide you with a car and an interpreter on Election Day and whether you will be picked-up at the airport by your Embassy)

_________________                     OSCE PA Headquarters                                                                               Vienna Office   Raadhustraede 1, 1466 Copenhagen K., Denmark                         Neustiftgasse 3/8, 1070 Vienna, Austria Phone: +45 33 37 80 40   -   Fax: +45 33 37 80 30                        Phone: +43 1 523 3002 – Fax: +43 1 522 2684 E-mail [email protected] - Website: www.oscepa.dk                   E-mail [email protected] - Website: www.oscepa.dk