APPENDIX 2

ACCREDITATION FORM – DELEGATES (2 PAGES)

14th Meeting of the OSCE Ministerial Council
Brussels, 4 – 5 December 2006

Each delegate is kindly asked to complete the accreditation form with one colour digital picture in .jpg (size 2,5 x 3 cm ; e-mail and appendixes cannot exceed 2,0 MB) which must be returned before 13 November 2006 to the Belgian Federal Public Service of Foreign Affairs. 
Please name the digital picture with your “lastname_firstname.jpeg”.

Sending this Form and photo by e-mail guarantees more efficient processing of the accreditation.

If there would be changes to the accreditation form afterwards, please mark the changes in yellow and use letter type Italic before sending it again.

DETAILS DELEGATION CONTACT PERSON 

Country or organization:		
Delegation contact person: (Mr/Mrs/Ms) last name, first name 		
Function:		
Telephone:		
Mobile phone:		
Fax:		
E-mail:		

DETAILS DELEGATE

LAST NAME:		
FIRST NAME:		
DELEGATION:		
TITLE:		
FUNCTION:		
DATE AND PLACE OF BIRTH:		
NATIONALITY:		
PASSPORT NUMBER, PLACE AND DATE OF ISSUE:		
BLOOD TYPE :		

ARRIVAL / DEPATURE DETAILS: 

 	Means of transport.	Flight No.	Date	Time	
ARRIVAL		
By plane	

By train	

By car	

DEPARTURE		
By plane	

By train	

By car	

  

Date						Signature

Please send the accreditation form, together with one colour photo to:

By e-mail: oscemc2006accred@diplobel.fed.be

In case of problems: 
Protocol and Security Department, Belgian Federal Public Service of Foreign Affairs
Mrs. Nathalie Bekaert
Telephone: +32 2 501 41 11

Please mention as subject “Delegation accreditation to the 14th Ministerial Council / Country or organization”