MODEL INSTRUMENT OF ACCREDITATION
FOR DELEGATIONS PARTICIPATING IN THE WORLD CONFERENCE ON INTERNATIONAL
TELECOMMUNICATIONS (WCIT-12), DUBAI, UNITED ARAB EMIRATES,
from 3 to 14 December 2012
CREDENTIALS
NAME OF MEMBER STATE
We, ___________________ (Head of State / Head of Government / Minister for Foreign Affairs / Minister
responsible for questions dealt with during the conference) 1 ______________________, hereby certify that the
delegation of __________________ (Member State) to the World Conference on International Telecommunications
(WCIT-12) to be held in Dubai, United Arab Emirates, from 3 to 14 December 2012:
•
has full powers;2
•
is authorized to represent its government, without restrictions;2
•
has the right to sign the Final Acts.2
The delegation comprises:
1. ____________________ , Head of delegation,
2. ____________________ , Deputy head of delegation,
3. ____________________ , Delegate
etc.
Done at ____________________, on ____________________ 2012, by or on behalf of:
_____________________________ (Signature)
Official seal
(Head of State/
Head of Government/
Minister for Foreign Affairs/
Minister responsible for questions dealt with
during the conference) 1
1 Delete as necessary.
2 In accordance with Nos. 328 to 331 of the ITU Convention, credentials shall fulfil one of these criteria.