Questionnaire

Questionnaire of the Deputy

Documents

To participate in the elections to the National Assembly (Parliament) of Western Armenia deputy-candidates must have citizenship of Western Armenia and register in the established order.

Questionnaire of the Deputy of the National Assembly (Parliament) of Western Armenia

    Name
    Surname
    Middle name
    Mother’s first and last names
    Date of Birth

    (Day, month, year)

    Date of birth
    Country
    City
    Roots
    Nationality
    Сitizenship
    Home address
    Country
    City
    ZIP-code, street, house, apartment
    Education, profession
    Workplace, position, address
    Passport

    (Name, number, date of issue, expiry date)

    E-mail
    Telephone
    Skype
    Upload a photo
    Copy of the passport