UNEP Media Accreditation Form

Global South-South Expo
Nairobi, 28 October - 1 November 2013

Fields marked with * are mandatory
1. Personal details
Surname*:
First names*:
Gender*: Male Female
Nationality*:
Address*:
Country*:
E-mail address*:
Telephone number*
(including country code):
2. Media Organisation Details
Name of media organisation*:
Address*:

Type of medium:*:

If other, please specify:

Position*:

If other, please specify:

Press card No*:
Working language(s) of your media organisation*:
Your main topic(s) of interest *:
3. Supporting Documents
Only PDF,WORD,JPEG,TIFF should be uploaded Maximum 10MB
Press card*:
ID/Passport*:
4. Deadline for Application: 12 October 2013
For more information please contact Melissa Gorelick at unepnewsdesk@unep.org or +254 762 3088





Deadline for Application: 12 October 2013

All queries on media accreditation should be addressed to: Melissa Gorelick Melissa.gorelick@unep.org, +254 20 762 3088/ mobile: +254 71621 4041, or: media.accreditation@unep.org