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* 1. First/Given Name (as in Passport):

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* 2. Last/Family Name (as in Passport):

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* 4. Date of Birth (as in Passport):

Date

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* 5. Gender/Sex:

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* 6. Permanent E-Mail Address:

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* 7. Telephone Number (including country code):

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* 8. Do you require an invitation letter to obtain a visa?

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* 9. Name and location of current employer:

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* 10. What is your current position?

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* 11. Title, name and e-mail address of your current line manager:

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* 12. If you are currently working in a mission are you considered local or international staff?

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* 13. Please select the correct number of years that you have been working in crisis management:

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* 14. Were you nominated to attend this course? If yes, by whom?

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* 15. How does the topic of the course relate to your current professional responsibilities? (max. 150 words)

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* 16. Please outline your motivation for wanting to attend this course (max. 400 words)

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* 17. Which type of personnel do you consider yourself?

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* 18. Which of these languages do you speak? (professional proficiency)

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* 19. Have you participated in previous ENTRi courses?

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