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Media accreditation and Liaison Unit

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Personal information

Salutation* Mr. Ms. Mrs. Miss
First name*

MI

Last name*
   Phone* (country · area · number)

Fax (country · area · number)

Mobile/Cell (country · area · number)
Citizenship*

Date of birth*

Place and country of birth*
Permanent address
Street*
   City*

Postal/Zip code

   Country*
For the purpose of creating your personal Accreditation Account, please choose a password between 6 and 8 characters long. The characters can be letters and/or numbers with no spaces between them.
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   E-mail*
Media organization
Name of organization*
   Web address
Supervisor name*

Supervisor phone* (country · area · number)
  Headquarters street address*

Headquarters city*

Headquarters Postal/Zip code

Headquarters country*

   Local address (if applicable)

Local street address

Local city

Local Postal/Zip code
Type of medium [Check only one] *
News Agency TV Photo Online only
Daily Paper Radio Periodical TV/Radio
Other Other ?
Your position [Check only one] *
Reporter Producer Technician
Correspondent Editor Photographer
Director Cameraperson    
INFORMATION REQUIRED BY UN SECURITY FOR ISSUANCE OF A GROUNDS PASS *
Home address while working at UN Headquarters.
same as Permanent address
Street*
   Postal/Zip code

City*
Emergency contact
First Name
 Last Name
Phone* (country · area · number)
Mobile/Cell (country · area · number)
Additional Personal information*
Hair colour
   Eye colour
   Height [cm]
  Weight [kg]
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Weight/Height

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IMPORTANT NOTICE & NOTE ON BONA FIDE MEDIA ORGANIZATIONS read
I have read and agreed to the above notice and rules governing media access, press conferences and briefings and will forward the letter of assignment by fax to 1-212-963-4642 or as scanned document in .jpeg or .pdf format to malu@un.org. Without a duly signed letter of assignment no application for accreditation or renewal of accreditation will be considered.
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