Registration Form, Non-Governmental Organizations

	NGO

2010 OSCE REVIEW CONFERENCE

REGISTRATION FORM  FOR
NON-GOVERNMENTAL ORGANIZATIONS

SECTION 1 (obligatory):

1.  Name of the NGO:.…………………………………………………..……………………………..

    Country the NGO is based: ………………………………………………………………………..

2. Surname:    Ms   Mr ..………………………………………………………..............................

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

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

5.  Delegation’s address: …………………………………………………………..………………..

……..…………………………………………………………………………….……...………….....

6     Phone:   ..………………….…………………    E–Mail:………………….…….………………

7.    Part(s) of the Review Conference to attend (tick one, two or all three boxes):

      Warsaw                                 Vienna                                       Astana         

SECTION 2 (obligatory):

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

9. Citizenship: ..……………………………………………………………………………………….

10.  Passport  No.: ……..……………………………. Issued  by: …………………..……………...

11. Issued on :……………………………………….. Expiry date:……………………………………

12. Arrival Date: ……………………………….. ..Departure Date: ……………..…………………

NOTE: You are kindly requested to return this registration form duly completed no later than the respective deadline to:  elke.lidarik@osce.org or by fax: +43153137577