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 Year1923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013 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
