OSCEs Parlamentariske Forsamling 2012-13
OSCE Alm.del Bilag 13
Offentligt
OSCE PA SHORT-TERM OBSERVER REGISTRATION FORMPRESIDENTIAL ELECTIONS IN ARMENIA ON 18 FEBRUARY 2013PERSONAL DATASurnameFirst NamePassport NumberMobile Phone Number(in field)
Diplomatic Passport?
Yes
No
(Please send a scanned copy of your passport and passport photo with this form)
Email AddressCitizenshipDate of BirthLanguagesPlace of Birth
CONTACT PERSON(Indicate contact details for the person in charge of practical arrangements for your participation)First Name &SurnameMobile Phone NumberEmail Address(NB:Englishis the official language of the Delegation)
ARRIVAL/DEPARTURE DATAArrival DateDeparture DateArrival TimeDeparture TimeFlight NumberFlight Number
VISAAirportEmbassyNot Needed
DEPLOYMENTPreference for Deployment PlacePreference of Deployment Partner(if any)Car on Election DayInterpretation on Election DayOSCEOSCEEmbassyEmbassyOwn arrangementsNot needed
_________________Tordenskjoldsgade 1, 1055 Copenhagen K., DenmarkPhone: +45 33 37 80 40 - Fax: +45 33 37 80 30 - [email protected] - www.oscepa.org
