Salutation/Titulo
First Name/Nombre
Surname/Apellido
Date of Birth/Fecha de Nascimiento
01020304050607080910111213141516171819202122232425262728293031 / 010203040506070809101112 / 2000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901
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)
Add File