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Turin, 10 April 2007 - marc-steiner.ch

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International Training Centre of the International Labour Organisation<br />

ACTIVITY TITLE<br />

NOMINATION FORM<br />

CODE<br />

DATE<br />

How did you learn about this activity:<br />

1. Personal history<br />

Please write your name as it is indicated in the passport<br />

Family name:<br />

First name:<br />

Sex: M F<br />

Date and place of birth:<br />

Personal address<br />

(full postal address):<br />

Phone n°: Fax n°: E-mail:<br />

Please indicate the city of the international airport you will<br />

depart from<br />

Please indicate if you need a S<strong>ch</strong>engen visa YES NO<br />

Nationality:<br />

Passport n°:<br />

Place and date of issue:<br />

Expiry date:<br />

Person to notify in case of emergency:<br />

Phone n°:

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