Name and surname * ID / Passport Number * Choose * - Select -JournalistPhotographerCamermanOther Name and surname * ID / Passport Number * Choose * - Select -JournalistPhotographerCamermanOther Name and surname * ID / Passport Number * Choose * - Select -JournalistPhotographerCamermanOther Media house * Type of Media * - Select -News agencyRadioTelevisionWeb / Internet Chief editor * Address * Phone number * E-mail * Remark