OSCE CONFERENCE ON COMBATING DISCRIMINATION AND
PROMOTING MUTUAL RESPECT AND UNDERSTANDING
Follow‑up to the Cordoba Conference on Anti‑Semitism and
Other Forms of Intolerance
Bucharest, 7 and 8 June 2007

REGISTRATION FORM FOR 
Journalists

1.  Media name: .…………………………………………………..……………………………..

2.  Surname:   …….………………………………………………………………..............................

3.  First Name(s):  …………………………………………………………………...............................

4.  Position / Title:  …………………………………………………………………………………….

5.  Place and Date of birth: ….……………………………………….…..……………………………

6. Citizenship: ..……………………………………………………………………………………….

7.  Passport  No.: ……..……………………………...  Issued  by: …………………..……………...

8. Press card type and No:…………………………………………………………………………….
(Please attach a copy of your press card.)

9.  Sex:                       F e m a l e         O                               M a l e            O

10.  Media address: …………………………………………………………..………………..
                                    ……..…………………………………………………………………………….……...………….....

     Phone:   ..………………….…………………     Fax: ………….……….……………………….

     E–Mail: ……………………………………………………………………….…….………………

11. Accommodation/Hotel … … … … ………………….. ……………………………………….

Date: ……………………….……….  Signature: ………...………………………………….….……	
Please return this registration form duly completed no later than 4 June 2007 to the Romanian Foreign Ministry – acreditare@mae.ro, fax +4021.319.21.95. 
Please attach a photo and a copy of your press card.