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Deaf People and Human Rights Report (ESP) - World Federation of ...

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1.0 Datos de Contacto<br />

1.1 País: _________________________________________________________________________________<br />

1.2 Nombre de la Asociación Nacional de Sordos: _____________________________________________<br />

1.3 Dirección:<br />

Calle: ______________________________________________________________________________<br />

Calle: ______________________________________________________________________________<br />

Ciudad: ______________________________________________________________________________<br />

Código Postal: _______________________________________________________________________<br />

País: ______________________________________________________________________________<br />

1.4 Dirección Postal:<br />

Número Postal:________________________________________________________________________<br />

Ciudad: ______________________________________________________________________________<br />

Código Postal: _______________________________________________________________________<br />

País: ______________________________________________________________________________<br />

Página Web: _______________________________________________________________________<br />

E-mail: ______________________________________________________________________________<br />

1.5 Números de teléfono:<br />

Teléfono fijo: _________________________________________________________<br />

Teléfono móvil: _________________________________________________________<br />

Fax: _________________________________________________________<br />

Uso Exclusivo para Datos del Proyecto<br />

Nº Referencia del País: ..............................................................................<br />

Recibido: ......................................................................................<br />

Entrada: ........................................................................................<br />

Clasificación del país:<br />

□ Ingresos Bajos □ Ingresos Medio-Bajos<br />

□ Ingresos Medio-Altos □ Ingresos Altos<br />

Personas Sordas y Derechos <strong>Human</strong>os Pág. 59

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