Observer Registration Form
KYRGYZSTAN
Parliamentary Elections 4 October 2015
Registration Date:
(dd.mm.yy)
PERSONAL INFORMATION
(Please answer each section clearly, completely and use only English transcription)
Family Name:
First Name:
Nationality:
Passport Number:
Passport Type:
Mobile in the field:
(country code +number)
Email:
Languages:
E-day Interpretation:
Diplomatic/Regular/Service
ENG –RUS –FR –SP–IT-GER
CONTACT PERSON
(Indicate contact details for the person in charge of practical arrangements for your participation)
First Name &Surname:
Mobile:
Email:
TRAVEL INFORMATION
(Observers are advised to arrive to Bishkek on 1 October 2015 to participate in briefings on 2-3 October and can depart in the
afternoon of 5 October 2015)
Arrival Date:
(dd.mm.yy)
Departure Date
:
(dd.mm.yy)
Arrival Time:
(hh:mm)
Departure Time:
(hh:mm)
Arrival Flight:
VISA required at the Airport:
Departure Flight:
YES
NO
DEPLOYMENT ON ELECTION DAY
Preference of Deployment Partner:
(if any)
Car on Election Day
Interpretation on Election
Day
OSCE
OSCE
Embassy
Embassy
Own
Arrangements
Own
Arrangements
PREFERENCE FOR DEPLOYMENT LOCATION
Bishkek
Willingness to travel by car outside Bishkek city (up to 90 minutes)
Willingness to overnight outside Bishkek
(The International Secretariat will provide suggestions)
Please return this form together with a passport copy by
Friday 11 September 2015
to
the OSCE PA International Secretariat tel: +45 33 37 80 47 fax +45 33 37 80 30
OSCE PA
DATE_________ RECORD_________