About the citizens' initiative

Find an initiative

Members of citizens' committee

Proposed citizens' initiative

Acceptance of policy and privacy statement

Preview & Confirm

This form expires in 20 hours: 25/07/2014 18:36:31 MEST.

Please enter data for the required 7 members.

Please consult the privacy statement for information on how your personal data will be used

Required fields are marked with an asterisk ( )


First name(s)
Family name(s)
Address
City
Postal Code
Residence country
E-mail address	required only for the representative and substitute (example: john.doe@mail.abc)
Telephone number including country code
Nationality
Date of birth	(format: dd/mm/yyyy)
Document(s)