REQUEST FOR ACCREDITATION OF MEDIA REPRESENTATIVES / FSM 2011

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COMITE D’ORGANISATION DU FSM DAKAR 2011
« Un Autre Monde est possible »
S/C USE/ Centre Ahmadou Malick Gaye, BP 4109, Dakar- Sénégal
Tel : 33-825-13-81 / 77-436-88-01 / 76-281-26-21 / 77632-67-80
Mail : medias@wsf2011.org / enregistrement@wsf2011.org / secretariat@wsf2011.org

IMPORTANT This application must be presented with aN assignment letter of your office, in order to be processed. |

Registration code for WSF2011 |

1. PERSONAL DATA First names: MARK | Surname: WALLER | Place / Date of birth: LONDON 1958 | Passport Number: 16604283 | Nationality: FINNISH | Permanent address: ORVLAXINTIE 381 BROMARV FINLAND | Tel: 0405551680 | Fax: | E-mail: MARKWALLER2010@GMAIL.COM |

2. CONTACT INFORMATION DURING WSF2011 Address in Dakar: OUKAM 245 CITE DE ASECNA | Tel: 772826808 | Fax: | E-mail: |

3. DATA OF THE MEDIA ORGANIZATION YOU REPRESENT Name of organization: TIEDONANTAJA | Contact person and title: ERKKI SUSI | Head quarters postal address: HAKANIEMI HELSINKI FINLAND | Tel: ?/>??<<mmn<"Nigd-list" <nigd-list@nigd.org>? | Fax: | E-mail: ERKKISUSI@TIEDONANTAJA.FI | Status / Ownership: | Education / Public Private | Government / State | Other: | Type of the Organization (Check as many as necessary) | Daily Newspaper Weekly publication Monthly publication | News agency /service Photo/visual service Radio Television | Other: | Position: | Camera person Correspondent Director | Editor Photographer Producer | Reporter Technician Other: | Country and working language(s) of your media organization: FINLAND | Your main news