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Back to IzG website		Ingenieurs zonder Grenzen (Engineers without Borders) - Project application Applicant: Name: First name: Contact information applicant: Street: Home number: PO box: City code: Town: Country: Telephone: Mobile: Fax: E-mail: Name, location and social purpose of beneficiary organisation: Purpose of the aid (make reference to humanitarian aspect): Details of the request (origin, description, location): Specific task for the aid provider: Local contacts, potential partners and other parties involved: Approvals from local authorities: Confirmation of logistic support from the beneficiary organisation to the aid provider (lodging, food, transport and safety): Date:
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