OSCEs parlamentariske Forsamling 2010-11 (1. samling)
OSCE Alm.del Bilag 55
Offentligt
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OSCE PA SHORT-TERM OBSERVER REGISTRATION FORMPARLIAMENTARY ELECTIONS IN TUNISIA ON 23 OCTOBER 2011PERSONAL 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 Number
DEPLOYMENTPreference for place of deployment(We encourage Members to choose deployment outside Tunis)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 DayOSCEOSCEEmbassyEmbassyOtherNot needed
Please return this form to:

[email protected],

Fax: +43 1 5222 684 by Thursday 8September 2011._________________Tordenskjoldsgade 1, 1055 Copenhagen K., DenmarkPhone: +45 33 37 80 40 - Fax: +45 33 37 80 30 - [email protected] - www.oscepa.org