Media Accreditation

If you encounter difficulties in completing the form please contact the Press Office at: press@itlos.org

The data provided with this form will be maintained purely for the use of the press office and will not be transferred to third parties.

First Name *

Last Name *

Date of Birth

Nationality *

Passport Number *

Address *

Telephone No. *

E-Mail *

Name of Media Organisation

Website

Contact Person

Contact Telephone No.

Contact E-Mail

Type of Media

Press Agency

Newspaper

Online Media

Photo Agency

Radio

Television

Other

Position

Camera

Correspondent

Director

Editor

Photographer

Producer

Reporter

Technician

Other

Will you be accompanied by a camera or technical team?

Yes

No

If so, please provide the names and positions of additional members of the team

Working language(s) of your media organization