Observer Registration Form
ARMENIA
Parliamentary Elections 2 April 2017
Registration Date:
(dd.mm.yyyy)
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 to Yerevan on 30 March 2017 to participate in briefings on 31 March and 1 April and can
depart after the debriefing scheduled in the morning of 3 April 2017)
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
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
Yerevan
Willingness to travel by car outside Yerevan city (up to 90 minutes)
Willingness to overnight outside Yerevan
(The International Secretariat will provide suggestions)
Please return this form together with a passport copy by
Friday 3 March 2017
to
the OSCE PA International Secretariat tel: +45 33 37 80 40 fax +45 33 37 80 30
OSCE PA
DATE_________ RECORD_________