Registration formWednesday 11 January 2017, from 09:30 to 13:00 and from 14:30 to 17:30 at the European Parliament - Altiero Spinelli (ASP) building in Room A3G3. Registration deadline: Monday 09 January 2017 at 12h00 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 Year1919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009 Year Nationality Identity card number Entrance for access badge : Willy Brandt (WIB) building and Altiero Spinelli (ASP) building – Esplanade side What code is in the image? * Submit
