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Nomination form - International Red Cross and Red Crescent ...

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<strong>Nomination</strong> Form(adopted by the St<strong>and</strong>ing Commission on 1.07.2002)PhotographFAMILY NAME(Mr., Mrs., Ms., title):Personal Details of the C<strong>and</strong>idateFIRST NAME(S):NATIONALITY :DATE OF BIRTH (DD.MM.YY) :MEMBER OF :(Name of National Society)PRESENT FUNCTION(S) IN THEMOVEMENT / NATIONAL SOCIETY :PRESENT FUNCTION(S) OUTSIDETHE MOVEMENT(when applicable) :Why do I aspire to join the St<strong>and</strong>ing Commission?

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