Personal data

Family Name* Fill in the field

First Name* Fill in the field

Sex* Fill in the field

Citizenship* Fill in the field

Date of Birth* Fill in the field

Place of Birth* Fill in the field

City* Fill in the field

Passport Number* Fill in the field

Date of Issue* Fill in the field

Expiry Date* Fill in the field

Address during stay in Belarus* Fill in the field

Media Represented

Title* Fill in the field

Category of mass media organization* Fill in the field

Country* Fill in the field

Address*

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Applicant’s Position* Fill in the field

E-mail* Fill in the field

Cellphone Number* Fill in the field

Accreditation Period*

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Diplomatic mission where a journalist intends to receive an entry visa* Fill in the field

Journalist ID or a written request on the official letterhead of the mass media outlet *

Documents submitted with your application must be no larger than seven megabytes (7 MB) and in the following file formats only: jpg, png, jpeg, pdf.

Photograph*

Documents submitted with your application must be no larger than seven megabytes (7 MB) and in the following file formats only: jpg, png, jpeg..

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