Summit to Commemorate the 10Th Anniversary of The
MEDIA ACCREDITATION
for
Summit to Commemorate the 10th Anniversary of the
PetroCaribe Agreement
September 5-6, 2015
Montego Bay Convention Centre, St. James, Jamaica
Please complete and return form with one (1) passport size photograph by Monday, August 24 to:
Ms. Judith Hunter
Jamaica Information Service
58a Half-Way Tree Road
Kingston 10
E-mail:
Tel. (876) 929-1919; Fax: (876) 754-4051
Please fax or e-mail form
FULL NAME:DATE OF BIRTH:
ORGANISATION: / ______
BUSINESS ADDRESS:
PHONE/FAX
EMAIL:
PASSPORT NUMBER: / NATIONALITY:
POSITION:
REPORTER PHOTOGRAPHER
TECHNICIAN CAMERA PERSON
EDITOR OTHER
APPLICANT’S SIGNATURE: ………………………………………………………………………………
AUTHORISING OFFICER’S SIGNATURE: ………………………………………………………………..
OVERSEAS APPLICANTS KINDLY NOTE:
YOU ARE REQUIRED TO ATTACH A DETAILED LIST OF EQUIPMENT ALONG WITH THE FOLLOWING INFORMATION TO ASSIST WITH CUSTOMS CLEARANCE:
DATE OF ARRIVAL:
AIRLINE:
PORT OF DISEMBARKMENT: KINGSTON MONTEGO BAY
DATE OF DEPARTURE:
VOLTAGE: 50 cycle 110/120 voltage