GEORGIA EOM 2016
Observer Registration Form
GEORGIA
Parliamentary Elections 8 October 2016
Registration Date:
(dd.mm.yy)
PERSONAL INFORMATION
(Please answer each section clearly, completely and use only English transcription)
Family Name:
Nationality:
Date of Birth:
Passport Number:
Passport Type:
First Name:
Mobile in the field:
(country code +number)
Email:
Diplomatic/Regular/Service
Working Language(s):
EN
FR RU DE IT
SP
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 Tbilisi on 5 October to participate in briefings on 6-7 October and can depart in the
afternoon of 9 October)
Arrival Date:
(dd.mm.yy)
Arrival Time:
(hh:mm)
Arrival Flight:
VISA required:
Departure
Date
:
(dd.mm.yy)
Departure Time:
(hh:mm)
Departure Flight:
YES
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 FR RU DE IT
SP
PREFERENCE FOR DEPLOYMENT LOCATION
Tbilisi
Willingness to travel by car outside of Tbilisi - up to 90 minutes
Willingness to travel by car (3-4hours) or overnight outside of Tbilisi
(The International Secretariat will provide suggestions)
Please return this form together with a passport copy by
Friday 9 September 2016
to
the OSCE PA International Secretariat
fax +45 33 37 80 30
OSCE PA GEORGIA EOM
DATE_________ RECORD#_________