OSCE, Alm.del - 2012-13 - Bilag 45: Invitation til valgobservationsmission i Azerbaijan den 9. oktober 2013

APPLICATION FORM FOR INTERNATIONAL OBSERVERI apply for accreditation as an international observer in Presidentialelections in the Republic of Azerbaijan on October 9, 2013.Copy of my passport and 2 photos (3x4) are attached to theapplication form.Surname: _______________________________________Name: _________________________________________Patronymic: _____________________________________Address: _____________________________________________________________Phone:Fax:Е-mail:

______________________________________________________________________Citizenship:______________________________________________________________________Serial number of Passport (or other substitute document): _______________________Country/organization I represent: _________________________________________________________________________________________________________________Place of work, profession, field ofactivity:______________________________________________________________________________________________________________________________________Election observation experience (country, year): ________________________________

I declare that being accredited as an international observer I will refer to facts,abide by the principles of legality, independence, impartiality, fairness and respect theprovisions of legislation and other laws.

I assure you of my awareness of the rights and duties of an internationalobserver, as well as functions implemented by him/her. I will not interfere at any way inthe activity of electoral bodies, their officials, political parties, blocs of political parties,initiative groups and their representatives as well as in the process of implementation ofthe right of eligible voters to vote.Date of arrival in the Republic of Azerbaijan: _____________________________Date of departure from the Republic of Azerbaijan: ________________________Name, surname, signature, place and date of sign: _______________________________________________________________________________________