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Updated : 06-Apr-2009

 

Eng. / Fr.

Request form for access
to the NATO Multimedia Library

This form needs to be filled in with care. You must receive the official reply before you can have access to the NATO Multimedia Library.
Please allow ten days minimum for the answer.

(All fields marked with * are mandatory)

Visitor

 
 
Language
  
Name
  
*
 
First Name
  
*
 
Gender
  
*
 
Place of Birth
  
*
 
Date of Birth
  
    *
 
    Please use format (dd/mm/yyyy) for the date
 
Nationality
  
*
 
ID/Passport Number
  
*
 
Issued at
  
*
 
Date Issued
  
    *
 
Address (in Belgium)
  
*
 
Telephone
  
*
 
E-mail Address
  
*
 
    Your email must be correct to receive your confirmation !
 
 
 
Profession
  
 
 
 
Students must fill in the following fields
Name and Address of the University  
Name of the Department  
Registration no  
 
Subject and content of your research
*
 
 
 
Married
  
 
When married, the following fields must be filled in
Spouse   
Name  
First Name  
Place of Birth  
Date of Birth  
   
Nationality  
Address  
 
     
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