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EARLY ELECTION OF DEPUTIES OF THE MAZHILIS OF PARLIAMENT
AND REGULAR ELECTION OF DEPUTIES OF THE MASLIKHATS
OF THE REPUBLIC OF KAZAKHSTAN
20 March 2016
APPLICATION FORM
FOR AN OBSERVER OF FOREIGN STATE
AND INTERNATIONAL ORGANIZATION
Surname _______________________________________________________________________
Given names ___________________________________________________________________
Date of birth _______________________________________________ Sex
Male
Female
Passport No. ________________________ Date of issue _______________________________
Issued by ______________________________________________________________________
Place of work ___________________________________________________________________
______________________________________________________________________________
Position _______________________________________________________________________
Country / international organization, which you represent
OSCE Parliamentary Assembly
______
Citizenship _____________________________________________________________________
Will you observe elections within the framework of international mission?
Yes
No
If yes, please specify the name of international mission __________________________________
______________________________________________________________________________
Election observation experience (country, year) ________________________________________
______________________________________________________________________________
______________________________________________________________________________
Telephone ________________ Mobile phone____________________ Fax ___________________
E-mail __________________________________________________________________________
Date of arrival to the Republic of Kazakhstan __________________________________________
Date of departure from the Republic of Kazakhstan _____________________________________
Signature ______________________
Date ___ ______________