DATA SHEET

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					                                      DATA SHEET

 Group
 Name


Host country        Technical field              I will be the(      )volunteer

1) Ministry/bureau of assignment

2) Name of workplace

3) Location of workplace / distance from capital / transportation means and travel time to a main city
(                       )     From capital city (             ), (         )(     )km
                             To the nearest city (       ), by (     ) about (  ) hours.
4) Project description/budget




1) Reason of dispatch request




2) Duties




3) Machinery/equipment



4) Staff/colleague(the number, education, position, age)



  Technical level and age of students (people trained by the volunteer)




Temperature (   ~     ℃)                         Electricity (    )stable ( )not stable ( )nil
Telephone ( )stable (  )not stable    (   )nil   Water       (    )stable ( )not stable ( )nil

				
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