OSCEs parlamentariske Forsamling 2010-11 (1. samling)
OSCE Alm.del Bilag 5
Offentligt
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OSCE PA SHORT-TERM OBSERVER REGISTRATION FORMPRESIDENTIAL ELECTION IN BELARUS ON 19 DECEMBER 2010PERSONAL DATASurnameFirst NamePassport NumberMember’s emailMobile phone number(in field)CitizenshipDate of BirthLanguages(Please remember: English is the official language of the Delegation)Place of BirthDiplomatic Passport?YesNo
(Please send a scanned copy of your passport to the International Secretariat with this form)
ARRIVAL/DEPARTURE DATAArrival DateDeparture DateArrival TimeDeparture TimeFlight NumberFlight NumberYesNo
Visa required upon arrival at the airport in Minsk
DEPLOYMENTPreference for place of deployment(We encourage Members to choose deployment outside Minsk)Preference of deployment partner (if any)Transportation to and from the airportOSCEEmbassyOther
(Transport by the OSCE will entail a cost, which will be collected in cash)Car on Election DayInterpretation on Election DayOSCEOSCEEmbassyEmbassyOwn arrangementsNot needed
Please return this form to

[email protected],

Fax +45 33 37 80 30 by Thursday 2 December 2010
_________________Raadhusstraede 1, 1466 Copenhagen K., DenmarkPhone: +45 33 37 80 40 - Fax: +45 33 37 80 30 - Website: www.oscepa.org