Accreditation form - the United Nations

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WORLD CONFERENCE AGAINST
RACISM, RACIAL DISCRIMINATION,
XENOPHOBIA AND RELATED INTOLERANCE
Durban, South Africa – 31 August-7 September 2001
REQUEST FOR ACCREDITATION OF MEDIA REPRESENTATIVES
Note: This application must be presented with a letter of assignment, in order to be processed.
PLEASE PROVIDE TWO COLOUR PASSPORT PHOTOS
38mm x 37 mm, WHITE BACKGROUND - PLEASE DO NOT STAPLE THROUGH FACE, PRINT NAME ON REVERSE SIDE
PERSONAL DATA
(PLEASE TYPE INSIDE THE SHADED BOX)
1.
Name: Please type here your Family Name
2.
Place and date of birth:
3.
Nationality:
4. Passport number:
Telephone:
Fax:
Mobile number:
Please type here your First Name
E-mail:
DATA ON THE MEDIA ORGANIZATION YOU REPRESENT
5.
Name of organization:
6.
Contact person and title:
Headquarters mailing address:
7.
8.
9.
Country:
Fax:
Telephone:
E-mail:
Status/Ownership:
Education/Public
Private
Government/State
Other (specify):
10. Type of medium (check as many as necessary):
Daily Newspaper
News agency/service
Photo/visual service
Radio
Television
Weekly publication
Other (specify):
11. Position:
Cameraperson
Correspondent
Director
Editor
Photographer
Producer
Reporter
Technician
Other (specify):
BROADCAST SERVICES
12. Do you need access to the free:
TV feed
Audio Feed
13. Do you need to hire commercial production and feeding facilities?
Yes
No
14. For more information on broadcast services please contact: Phone: (+27-11) 714-6811
Fax: (+ 27-11) 714-6482 Email: swarts@sabc.co.za OR fouriel@sabc.co.za
WORLD CONFERENCE AGAINST
RACISM, RACIAL DISCRIMINATION, XENOPHOBIA AND
RELATED INTOLERANCE
Durban, South Africa
31 August – 7 September 2001
PROCEDURES TO APPLY FOR MEDIA ACCREDITATION
Bona fide representatives of the mass media -- press, photo, radio, television and film -- will
be accredited for coverage of the WORLD CONFERENCE AGAINST RACISM, RACIAL
DISCRIMINATION, XENOPHOBIA AND RELATED INTOLERANCE, to be held in Durban, South
Africa, 31 August – 7 September 2001.
Completed application forms, together with a letter of assignment on official letterhead from
the Editor or Bureau Chief, and two colour passport photos, should be sent to:
(Pre-accreditation - Before 24 August 2001)
United Nations
Media Accreditation and Liaison Unit
Department of Public Information, Room S-250
New York, NY 10017, U.S.A.
Fax: (212) 963-4642
Email: media-accredit@un.org
(On-site accreditation - After 24 August 2001)
World Conference Against Racism
Accreditation Office
Durban, South Africa
Tel: (+27 31) 360 1279
Fax: (+27 31) 360 1281
No acknowledgement will be mailed to you. If you have applied during pre-accreditation
period, passes will be issued at the Conference site upon presentation of two forms of photo
ID (passport, official national press pass, driver’s license, work ID, etc.).
If you are applying at the Conference site for the first time, you should complete an application
form, present a letter of assignment and two forms of photo ID. Please note that on-site
accreditation may present long delays. To avoid delays, please send your application early,
during pre-accreditation period.
PLEASE NOTE: Application forms will be considered only if accompanied by a letter of
assignment. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. Accreditation is free
of charge.
For more information on the Conference visit its website at: www.un.org/WCAR
CUSTOMS PROCEDURES: Journalists bringing equipment MUST follow customs
procedures as described in the South African Government website at: www.racism.gov.za
HOTEL ACCOMODATIONS: Please contact Ms. Nicky Gild at Turner Conference and
Conventions for information at: Tel (+27 31) 332 1451, Fax: (+27 31) 368 5100 or E-mail:
turner20@galileosa.co.za
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