High Level Conference on Mediation in OSCE Area

10 October 2014

Registration Form

Please submit this form not later than 8 October 2014 by e-mail to elke.lidarik@osce.org 

Please complete in capital letters

Family Name:	Ms.		Mr.		Given Names:	
     	     	

Representing: 	
Country/Name of Organization/Name of Institution:

And please tick one of the categories below:
 Participating State     	 Partner for Co-operation	 International Organization	 Academic Community      Business Community	 NGO     OSCE Secretariat	 OSCE Field Operation         	 OSCE Institution                                                                                            Other:      	

Title / Position as to appear on the list of participants:	
     	

Mobile No. with all prefixes, including national code:	E-mail address:	
     	     	
Tel. No. with all prefixes, including national code:	Passport Number: