Request | Accreditation

First Name (Names) *
Last name *
Date of birth *
Place of birth *
Citizenship *
Your passport/valid travel document number *
Foreign media organisation
- Name of foreign media organisation *
- Headquarters address *
- Telephone *
- E-mail *
- Type of media organisation: * (Pleae mark the approporiate box(es))
  
  TV
  
  Radio
  
  Newspaper
  
  Journal
  
  News agency
  
  Broadcaster
  
  Film, audio, visual studio
  
  Other
- Your position: * (Please mark the approporiate box(es))
  
  Editor
  
  Photographer
  
  Reporter
  
  Correspondent
  
  Cameraman
  
  Freelancer
  
  Technician
Your contact data
- Telephone *
- E-mail *
Applying for first-time accreditation *

Yes

No
Previously held accreditation card No. *
Valid until: *
Please list your previous employers and countries in which you were accredited as a foreign journalist:
- Previous workplace and country *
Add item
Annexes
A letter of assignment signed by the head of the foreign media organisation *

Valid types: pdf, jpg. Maximum size: 1 MB.

Select (1)
A copy of the passport or another valid travel document *

Valid types: pdf, jpg. Maximum size: 1 MB.

Select (1)
A copy of the press card *

Valid types: pdf, jpg. Maximum size: 1 MB.

Select (1)
Photo *

Valid types: jpg. Maximum size: 1 MB.

Select (1)
A list of publications and/or reporting on the Republic of Lithuania in the last twelve (12) months, or their précis or copies *

Valid types: pdf, jpg, doc, docx. Maximum size: 1 MB.

Select (20)
A list of publications and/or reporting planned for the accreditation period *

Valid types: pdf, jpg, doc, docx. Maximum size: 1 MB.

Select (1)
Other *

Valid types: pdf, jpg, doc, docx. Maximum size: 1 MB.

Select (5)
I hereby agree that the competent institutions of the Republic of Lithuania will verify my personal information. *

I agree.
I hereby consent to the collection, storage and processing of my personal data for the purpose of the accreditation pursuant to the Law of the Republic of Lithuania on Legal Protection of Personal Data. *

I consent.
I hereby declare that the information provided by me is true, complete and accurate. *

I declare.
I hereby undertake to abide by the Law on the Provision of Information to the Public and other laws of the Republic of Lithuania. *

I undertake.
I am not a robot *

MINISTRY OF FOREIGN AFFAIRS OF THE REPUBLIC OF LITHUANIA ACCREDITATION FORM

Foreign media organisation

Your contact data

Please list your previous employers and countries in which you were accredited as a foreign journalist: