RU EOM 2016
Observer Registration Form
RUSSIAN FEDERATION
Parliamentary Elections 18 September 2016
Registration Date:
(DD-MM-YYYY)
PERSONAL INFORMATION
(Please answer each section clearly, completely and use only English transcription)
Family Name:
First Name:
Mobile in the field:
Nationality:
(country code +number)
Passport Number:
Email:
Diplomatic/Regular/Service
Working Language(s):
EN FR RU DE IT SP
Passport Type:
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 Moscow on 15 September 2016 to participate in briefings on 16-17 September and can
depart on 19 September 2016)
Arrival Date:
(dd.mm.yy)
Arrival Time:
(hh:mm)
Arrival Flight:
Visa required:
YES
Departure
Date
:
(dd.mm.yy)
Departure Time:
(hh:mm)
Departure Flight:
NO
ARRANGMENTS ON ELECTION DAY
Preference of Deployment Partner:
(if any)
Car on Election Day
Interpretation on
Election Day
For OSCE E-day
Interpretation:
(
please mark ONE)
OSCE
OSCE
Embassy
Embassy
Own
Arrangements
Own
Arrangements
EN
DE
FR IT
SP
DEPLOYMENT LOCATION
Moscow
Willingness to overnight outside Moscow
(The International Secretariat will provide the list of deployment destinations)
Please return this form together with a passport copy by
Friday 12 August 2016
to
the OSCE PA International Secretariat
fax +45 33 37 80 30
OSCE PA RUSSIA EOM 2016
DATE_________
RECORD #_________