APPLICATION FORM FOR TEMPORARY ACCREDITATION

Applicant	Applicant’s Organization
Name	Name
Nationality	Address
Father’s Name	Publication Period (for print media)
Place & Date of Birth	Distribution/ Broadcast Area
Passport Number	Circulation/ Audience
Purpose of Visit	Language
Length of Stay	Telephone & Fax
Previous Accreditation, if any	E-mail Address
Position Held	Web Address
Languages Spoken
Permanent Address
Address in Turkey
Telephone & Fax
E-mail Address

Place and Date of Entry into Turkey

Signature and Date

For Office Use Only

Basın Kartının Tarihi ve Numarası

Basın Kartının Süresi