OSCE PA SHORT-TERM OBSERVER REGISTRATION FORM
PARLIAMENTARY ELECTION IN THE RUSSIAN FEDERATION ON 4 DECEMBER 2011
PERSONAL DATA
Surname
First Name
Passport Number
Diplomatic Passport?
Yes
No
(Please send a scanned copy of your passport to the International Secretariat with this form)
Member’s email
Mobile phone number
(in field)
Citizenship
Date of Birth
Languages
(Please remember: English is the official language of the Delegation)
Place of Birth
ARRIVAL/DEPARTURE DATA
Arrival Date
Departure Date
Arrival Time
Departure Time
Flight Number
Flight Number
DEPLOYMENT
Preference for place of deployment
(We encourage Members to choose deployment outside Moscow)
Preference of deployment partner (if any)
Transportation to and from the airport
OSCE
Embassy
Other
(Transport by the OSCE will entail a cost, which will be collected in cash)
Car on Election Day
Interpretation on Election Day
OSCE
OSCE
Embassy
Embassy
Own arrangements
Not needed
Please return this form to
Fax +45 33 37 80 30 by Monday 14 November 2011
_________________
Tordenskjoldsgade 1, 1055 Copenhagen K., Denmark
Phone: +45 33 37 80 40 - Fax: +45 33 37 80 30 - [email protected] - www.oscepa.org