Observer Registration Form
BELARUS
Parliamentary Elections 11 September 2016
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:
Passport Issue Date:
Diplomatic/Regular/Service
Date of Birth:
Mobile in the field:
(country code +number)
Email:
Working Language:
E-day Interpretation:
Passport Expiry Date:
ENG –RUS –FR –SP–IT-GER
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 in Minsk on 8 September to participate in briefings on 9-10 September and can depart in the
afternoon of 12 September)
Arrival Date:
(dd.mm.yy)
Arrival Time:
(hh:mm)
Arrival Flight:
Visa required:
If visa required:
YES
Departure
Date
:
(dd.mm.yy)
Departure Time:
(hh:mm)
Departure Flight:
NO
Upon arrival at the airport □
Embassy of Belarus in:_________________
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
Minsk
Willingness to travel by car outside of Minsk (up to 90 minutes)
Willingness to overnight outside of Minsk
(The International Secretariat will provide suggestions)
Please return this form together with a passport copy by
Friday 12 August 2016
to
the OSCE PA International Secretariat tel: +45 33 37 80 47 fax +45 33 37 80 30
OSCE PA
DATE_________ RECORD_________