Registration Form, Delegations and Partners for Co-operation

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2010 OSCE REVIEW CONFERENCE

REGISTRATION FORM FOR
DELEGATIONS AND PARTNERS FOR CO-OPERATION

SECTION 1 (TO BE FILLED IN BY ALL PARTICIPANTS)

1.  State / Delegation:.…………………………………………………..……………………………..

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 (not applicable to the registration for the Vienna Part  by delegation members permanently accredited in Vienna)

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

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

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

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

12(a) (Warsaw) Arrival Date: …………………………..Departure Date: …………..……………

12(b) (Vienna)  Arrival Date: ……………………….. ..Departure Date: ……..…………………

12(c)  (Astana) 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