Page No 1 - World Federation of the Deaf

1.0 Contact Details
1.1 Country: _____________________________________________________________________________
1.2 Name of the National Association of the Deaf: __________________________________________________
___________________________________________________________________________________________
1.3 Street Address:
Street Address: _____________________________________________________________________________
Street Address: _____________________________________________________________________________
City: ____________________________________________________________________________________
Post code / Zip Code: ______________________________________________________________________
Country: _____________________________________________________________________________
1.4 Postal Address:
Postal Number: _____________________________________________________________________________
City: ____________________________________________________________________________________
Post code / Zip Code: ______________________________________________________________________
Country: _____________________________________________________________________________
Website Address: ______________________________________________________________________
Email Address: _____________________________________________________________________________
1.5 Telephone Numbers:
Landline Number: _________________________________________________________
Mobile Number: _________________________________________________________
Facsimile Number: _________________________________________________________
Project Data Use Only
Country Reference No: ..............................................................................
Received Date: ......................................................................................
Data Entered: ........................................................................................
Country Classifications:
□ Low Income □ Lower Middle Income
□ Upper Middle Income □ High Income
The Project is under the auspices of the Swedish National Association of the Deaf (SDR) and the World Federation of the Deaf (WFD) Page No 84
and funded by the Swedish Agency for International Development Cooperation (Sida) and Swedish Organisations’ of Disabled Persons
International Aid Association (Shia).