Registration form Thursday 20 October 2016, from 09:00 to 12:00 at the European Parliament - Altiero Spinelli (ASP) building in Room A3G2 - Brussels Registration deadline: Tuesday 18 October 2016 Family name * First name * Organisation / Company E-mail * E-mail confirmation * Do you have an access badge to the European Parliament * Yes No If no, we will provide you with a pass. Please give us your date of birth, nationality and identity card number. Date of birth Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year1918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008 Year Nationality Identity card number Entrance for access badge : Entrance Bâtiment Willy Brandt (WIB) - Rue Wiertz What code is in the image? * Submit
