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Постановление Совета Министров Республики Беларусь от 25.12.2008 N 2015 "О некоторых вопросах регулирования деятельности средств массовой информации"(текст постановления с изменениями и дополнениями по состоянию на январь 2010 года) обновление и архив Стр. 2 в Республике Беларусь журналистов иностранных средств массовой информации --------------------------------------------------------------------------¬ ¦ МIНIСТЭРСТВА ЗАМЕЖНЫХ СПРАЎ РЭСПУБЛIКI БЕЛАРУСЬ ¦ ¦ ¦ ¦ ----------¬ ¦ ¦ ЗАЯЎКА ¦ ¦ ¦ ¦ НА АКРЭДЫТАЦЫЮ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦---------- ¦ ¦ ¦ ¦ Форма ¦ ¦ АСАБIСТЫЯ ДАНЫЯ ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦Прозвiшча, iмя, iмя¦ ¦ ¦ ¦ ¦ па бацьку¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Грамадзянства¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Дата i месца¦ ¦ ¦ ¦ ¦ нараджэння¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Пашпарт¦N ¦ ¦ ¦ ¦ ¦Выдадзены ¦ ¦ ¦ ¦ ¦Дата выдачы Сапраўдны па ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Пастаянны адрас¦ Тэл. ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Адрас у час¦Гасцiнiца ¦ ¦ ¦ ¦ знаходжання ў¦ ¦ ¦ ¦ ¦ Беларусi¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ АРГАНIЗАЦЫЯ, ЯКАЯ ЗВЯРТАЕЦЦА ЗА АКРЭДЫТАЦЫЯЙ ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ Назва¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Краiна¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Адрас¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Тэл. i факс¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Пасада¦ ¦ ¦ ¦ ¦ акрэдытуемай асобы¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ ЖУРНАЛIСЦКАЕ ПАСВЕДЧАННЕ ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ N, кiм выдадзена¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ ДАДАТКОВАЯ IНФАРМАЦЫЯ ¦ ¦ --------------------------------------------------------------------¬ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦-------------------------------------------------------------------- ¦ ¦ ¦ ¦ ПОДПIС ДАТА ¦ ¦ --------------------------------------------+-----------------------¬ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦-------------------------------------------+------------------------ ¦ ¦ ¦ ¦ --------------------------------------------------------------------¬ ¦ ¦ ¦ДЛЯ СЛУЖБОВАГА КАРЫСТАННЯ ¦ ¦ ¦ ¦Картка N _____________ Выдадзена _________ Сапраўдная па _________ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦-------------------------------------------------------------------- ¦ ¦ ¦ ¦-------------------------------------------------------------------------- --------------------------------------------------------------------------¬ ¦ МИНИСТЕРСТВО ИНОСТРАННЫХ ДЕЛ РЕСПУБЛИКИ БЕЛАРУСЬ ¦ ¦ ¦ ¦ ----------¬ ¦ ¦ ЗАЯВКА ¦ ¦ ¦ ¦ НА АККРЕДИТАЦИЮ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦---------- ¦ ¦ ЛИЧНЫЕ ДАННЫЕ ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ Фамилия, имя,¦ ¦ ¦ ¦ ¦ отчество¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Гражданство¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Дата и место¦ ¦ ¦ ¦ ¦ рождения¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Паспорт¦N ¦ ¦ ¦ ¦ ¦Выдан ¦ ¦ ¦ ¦ ¦Дата выдачи Действителен по ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Постоянный адрес¦ Тел. ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Адрес во время¦Гостиница ¦ ¦ ¦ ¦ пребывания в¦ ¦ ¦ ¦ ¦ Беларуси¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ ОРГАНИЗАЦИЯ, ЗАПРАШИВАЮЩАЯ АККРЕДИТАЦИЮ ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ Название¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Страна¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Адрес¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Тел. и факс¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Должность¦ ¦ ¦ ¦ ¦аккредитуемого лица¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ ЖУРНАЛИСТСКОЕ УДОСТОВЕРЕНИЕ ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ N, кем выдано¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ ДОПОЛНИТЕЛЬНАЯ ИНФОРМАЦИЯ ¦ ¦ --------------------------------------------------------------------¬ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦-------------------------------------------------------------------- ¦ ¦ ¦ ¦ ПОДПИСЬ ДАТА ¦ ¦ --------------------------------------------+-----------------------¬ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦-------------------------------------------+------------------------ ¦ ¦ ¦ ¦ --------------------------------------------------------------------¬ ¦ ¦ ¦ДЛЯ СЛУЖЕБНОГО ПОЛЬЗОВАНИЯ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦Карточка N ____________ Выдана _________ Действительна по ________ ¦ ¦ ¦ ¦-------------------------------------------------------------------- ¦ ¦ ¦ ¦-------------------------------------------------------------------------- --------------------------------------------------------------------------¬ ¦ MINISTRY OF FOREIGN AFFAIRS OF THE REPUBLIC OF BELARUS ¦ ¦ ¦ ¦ ----------¬ ¦ ¦ APPLICATION ¦ ¦ ¦ ¦ FOR PRESS ACCREDITATION ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦---------- ¦ ¦ ¦ ¦ PERSONAL DATA ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ First and Family¦ ¦ ¦ ¦ ¦ Name¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Nationality¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Date and Place of¦ ¦ ¦ ¦ ¦ Birth¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Passport¦No. ¦ ¦ ¦ ¦ ¦Issued by ¦ ¦ ¦ ¦ ¦Date of issue Expiry date ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Permanent address¦ Phone ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦Address during stay¦ ¦ ¦ ¦ ¦ in Belarus¦ Phone ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ MEDIA REPRESENTED ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ Name¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Country¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Address¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Phone & Fax No¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Applicant's¦ ¦ ¦ ¦ ¦ position¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ PROFESSIONAL CARD ¦ ¦ --------------------+-----------------------------------------------¬ ¦ ¦ ¦ Card No. ¦ ¦ ¦ ¦ +-------------------+-----------------------------------------------+ ¦ ¦ ¦ Issued by ¦ ¦ ¦ ¦ ¦-------------------+------------------------------------------------ ¦ ¦ ¦ ¦ OTHER RELEVANT INFORMATION ¦ ¦ --------------------------------------------------------------------¬ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ +-------------------------------------------------------------------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦-------------------------------------------------------------------- ¦ ¦ ¦ ¦ SIGNATURE DATE ¦ ¦ ---------------------------------------------+----------------------¬ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦--------------------------------------------+----------------------- ¦ ¦ ¦  |  |
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