Address of the document: http://en.belavia.by/leader/registration/
Print: 22 December 2014, 20:12
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22 December 2014, Monday
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Registration * – required fields

Please note that the Registration Form must be completed accurately in accordance with your passport details. If passport data is changed you must inform Belavia Leader Customer Service immediately. Passport details must match the data on your Registration Form, otherwise it may result in late crediting of points to your personal account.

The personal data

*Reference Title:
*Surname:
Latin letters, as in the passport
*Name:
Middle name:
*Date of a birth:
*Sex:

Passport data

*Citizenship:
*Number of the document:
*Validity:

Address

Fill latin letters
*Type of the address:
*Country:
*The postal code:
*City:
*Address:

The contact information

*Phone 1:
*Type:
*Country:
*Number :
Code
Phone number
Phone 2:
Type:
Country:
Number :
Code
Phone number
Fax:
Country:
Number :
Code
Phone number
*E-mail:

Place of work

Company name:
Position:

Confidential question

*Question:
*Answer:

Your preferences

*Correspondence:
How to inform on a condition of the account?
*Language of correspondence:
Meals:
Please be noted that your preferences will be taken into consideration but not guaranteed
Seat number: