MEDIA REGISTRATION FORM

*required field

Publication/Agency Name*
Title/Rank*
First/Given Name*
Family Name*
Note: Please ensure that your first/given name and family name match your name in the ID/passport provided. Your registration may not be processed if details are found to be inaccurate.
Job Title*
Origin of Publication*
Nationality of Media Representative*
Country Code
*
Telephone
Country Code*
*
Mobile*
Website
Email Address*
Upload Passport/ Photo ID Copy of Media Representative*
Upload Press Card Copy
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