APPENDIX 3

ACCREDITATION FORM - SECURITY PERSONNEL (2 PAGES)

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

Each security officer 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.

LAST NAME:		
FIRST NAME:		
DELEGATION:		
TITLE:		
FUNCTION:		
DATE AND PLACE OF BIRTH:		
NATIONALITY:		
PASSPORT NUMBER, PLACE AND DATE OF ISSUE:		
TYPE OF FIREARM(S):		
SERIAL NUMBER(S):		
AMOUNT OF AMMUNITION:		
ADDITIONAL SECURITY EQUIPMENT:		

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 “Security Personnel accreditation to the 14th Ministerial Council/ Country or organization”