OSCEs Parlamentariske Forsamling 2011-12
OSCE Alm.del Bilag 27
Offentligt
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OSCE PA SHORT-TERM OBSERVER REGISTRATION FORMPARLIAMENTARY ELECTIONS IN THE REPUBLIC OF ARMENIA ON 6 MAY 2012PERSONAL 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
VISAAirportEmbassyNot Needed
DEPLOYMENTPreference for place of deployment(We encourage Members to choose deployment outside Yerevan)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 16 April 2012_________________Tordenskjoldsgade 1, 1055 Copenhagen K., DenmarkPhone: +45 33 37 80 40 - Fax: +45 33 37 80 30 - [email protected] - www.oscepa.org