Registration formWednesday, 09 January 2019 15.00-18.30 at the European Parliament- Altiero Spinelli (ASP) building in Room A3G-3 Registration deadline: Friday 04 January 2019. 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 Year1922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012 Year Nationality Identity card number Entrance for access badge : Willy Brandt (WIB) building and Altiero Spinelli (ASP) building – Esplanade side Additional requirements, assistance CAPTCHA This question is for testing whether you are a human visitor and to prevent automated spam submissions. What code is in the image? * Submit
