14th OSCE Ministerial Council Meeting
Brussels, 4 and 5 December 2006

MEDIA ACCREDITATION FORM 

Please send an email with the completed accreditation form AND a digital photograph in .jpg or .gif format before 24 November 2006 to: Pressoscemc2006@diplobel.fed.be

Both the completed accreditation form and the digital photograph must be attached to the email.
The accreditation form submitted will be passed on to the Security Services for security clearance prior to accreditation. An e-mail confirmation will be sent to the media representative as soon as possible. For any questions please contact: Belgian Federal Public Service of Foreign Affairs, Press Department, + 32.2 501 80 43 or + 32.2 501 84 07 or + 32.2 501 80 68

Photograph:	Please note that accreditation forms without a photograph of the respective person will NOT be processed. The .jpg or .gif file with the photograph must use this naming protocol as follows: last name _first name.jpg or last name _first name.gif	
Last name:		
First name(s):		
Nationality:		
Date & Place of Birth:		
Passport Number:		
Date of Issue:		
Date of Expiry:		
Media outlet:		
Country of head office:		
Your office address:		
Office telephone:		
Fax:		
Mobile phone:		
e-mail address:		
Type of Medium:
(please underline) 	•	News Agency
•	Print Press
•	TV
•	Radio
•	On line
•	Other, please specify:…………….……………………	
Function:
(please underline)	•	Journalist
•	Photo Journalist 
•	Cameraman
•	Technician	
Press Card Number:		
Issued by:		
Date of Issue:		

Date:
By e-mail: Pressoscemc2006@diplobel.fed.be

Please mention as subject line “Media accreditation to 14th Ministerial Council + Last name + First name + Country”