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MEDIA INFORMATION
Media Name
	International agency
	National agency
	Newspaper
	Sport information magazine
	Radio
	TV Channel
	Internet
Organization address
City
Country	Afghanistan Albania Algeria American Samoa Andorra Angola Antigua (West Indies) Argentina Armenia Aruba - Dutch Caribbean Australia Austria Azerbaijan Belarus Belgium Bhutan Bolivia Bosnia and Herzegovina Brazil British Virgin Islands Brunei and Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Chile Chinese Taipei Colombia Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic D. P. Republic of Korea Dem. Rep. of Timor-Leste Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Ethiopia F. Yug. Rep. of Macedonia Finland France Georgia Germany Ghana Great Britain Greece Guam Guatemala Guinea-Bissau Guyana Honduras Hong Kong China Hungary India Indonesia Iraq Ireland Islamic Republic of Iran Israel Italy Ivory Coast Japan Kazakhstan Kenya Kingdom of Tonga Korea Kyrgyz Republic Lao People's Dem. Rep. Latvia Lebanon Liberia Libya Lithuania Luxembourg Macau China Malaysia Malta Mexico Moçambique Moldova Mongolia Montenegro Morocco Myanmar Namibia Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Nigeria Norway P. Republic of China Pakistan Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Equ. Guinea Republic of Ukraine Republic of Uzbekistan Republica de Panama Romania Russia Samoa Sant Vincent & Grenadines Sao Tome and Principe Senegal Serbia Seychelles Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sudan Suriname Sweden Switzerland Taiwan Tajikistan Thailand Togo Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda United Arab Emirates United States of America Uruguay Vanuatu Venezuela Vietnam Zambia
ZIP Code
Telephone
Fax
eMail
Web
PERSONAL INFORMATION
Family Name
First Name
Gender	Male Female
DNI / Passport
Nacionality	Afghanistan Albania Algeria American Samoa Andorra Angola Antigua (West Indies) Argentina Armenia Aruba - Dutch Caribbean Australia Austria Azerbaijan Belarus Belgium Bhutan Bolivia Bosnia and Herzegovina Brazil British Virgin Islands Brunei and Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Chile Chinese Taipei Colombia Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic D. P. Republic of Korea Dem. Rep. of Timor-Leste Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Ethiopia F. Yug. Rep. of Macedonia Finland France Georgia Germany Ghana Great Britain Greece Guam Guatemala Guinea-Bissau Guyana Honduras Hong Kong China Hungary India Indonesia Iraq Ireland Islamic Republic of Iran Israel Italy Ivory Coast Japan Kazakhstan Kenya Kingdom of Tonga Korea Kyrgyz Republic Lao People's Dem. Rep. Latvia Lebanon Liberia Libya Lithuania Luxembourg Macau China Malaysia Malta Mexico Moçambique Moldova Mongolia Montenegro Morocco Myanmar Namibia Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Nigeria Norway P. Republic of China Pakistan Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Equ. Guinea Republic of Ukraine Republic of Uzbekistan Republica de Panama Romania Russia Samoa Sant Vincent & Grenadines Sao Tome and Principe Senegal Serbia Seychelles Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sudan Suriname Sweden Switzerland Taiwan Tajikistan Thailand Togo Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda United Arab Emirates United States of America Uruguay Vanuatu Venezuela Vietnam Zambia
Date of Birth (dd mm yyyy)
Press association name
Press card
	Journalist
	Photographer
	Commentator TV-Radio
	Internet editor
	Technician
OTHER INFORMATION
	Accomodation

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