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African Union Summit on Industrialization and Economic Diversification
African Union Summit on Industrialization and Economic Diversification
Personal Information
First Name(s)
First Name(s)
First Name(s)
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Family Name
Gender
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Date of Birth
Place of Birth
Passport Country of Issue
Passport Number
Passport Copy
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100 MB limit.
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Mobile Number
Telephone Number
Personal E-mail Address
Permanent Address
Address
City/Town
ZIP/Postal Code
Country
Media Organisation
Name of Media Organisation
Organisation Web Address
Media Type
- Select -
magazine
Newspaper
Radio
Television
Online
Photo Agency
News Agency
Radio &TV
Other
Functional Title within the Organisation
Organisation Contact Address
Organisation City
Organisation Country
Professional Details and Additional Documentation
Reporting Language
Social Media Handles
Photo
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100 MB limit.
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Links to samples of your work
Duties to be performed (tick or enter as appropriate)
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Correspondent
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Editor
Director
Video Cameraperson
Photographer
Technician
Other
Attach National Press Card or Equivalent Identification
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100 MB limit.
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Letter on a letterhead from media organization confirming that the applicant has been assigned to cover the event
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100 MB limit.
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Visa Request Form
English PDF 170.89 KB
Equipement Form
English DOCX 37.95 KB
French DOCX 37.76 KB
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