OSCEs parlamentariske Forsamling 2009-10
OSCE Alm.del Bilag 2
Offentligt
OSCE PA SHORT-TERM OBSERVER REGISTRATION FORMPRESIDENTIAL ELECTION IN UKRAINE ON 17 JANUARY 2010PERSONAL DATASurnameFirst NamePassport NumberDiplomatic Passport?YesNo
(Please send a scanned copy of your passport to the International Secretariat with this form)Member’s emailMobile phone number(in field)CitizenshipDate of BirthLanguages(Please remember: English is the official language of the Delegation)Place of Birth
ARRIVAL/DEPARTURE DATAArrival DateDeparture DateArrival TimeDeparture TimeFlight NumberFlight Number
Visa required upon arrival at the airport in KyivPoint of entry into Ukraine
YesAirport
NoOther
DEPLOYMENTPreference for place of deployment(We encourage Members to choose deployment outside Kyiv)Preference of deployment partner (if any)
Transportation to and from the airport
OSCE
Embassy
Other
(Transport by the OSCE will entail a cost, which will be collected in cash)Car on Election DayInterpretation on Election DayOSCEOSCEEmbassyEmbassyOwn arrangementsNot needed
Please return this form toFax +45 33 37 80 30 by Thursday 17 December 2009
_________________Raadhusstraede 1, 1466 Copenhagen K., DenmarkPhone: +45 33 37 80 40 - Fax: +45 33 37 80 30 - Website: www.oscepa.org
