Media Registration Page

Salutation/Titulo

First Name/Nombre

Surname/Apellido

Date of Birth/Fecha de Nascimiento

/ /

National Press Card / Passport Number - Carnet de Prensa / Passaporte

Nationality / Nacionalidad

Country where based / País

Name to appear on Badge / Nombre para pase
(max 30 characters)

Media Outlet Name to appear on Badge / Medio de communicación
(max 30 characters)

Media Outlet Address / Dirección

Publication Website / Sitio Web

Job Title / Cargo

Mobile No.

Email

Documents upload / Adjuntar documentos
(e.g. national press card, letter of assignment)

Welcome to media registration page