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E body a person received an injury. Please only submit this appendix along with an Incident Report Form in line with the same rules and instructions. However, the body chart must be completed by hand; it can then be scanned and emailed. Programme and reference number Date of incident Name of the person submitting this document Position in the CISV Programme E mail Please help to explain your relevant Incident Report Form by indicating where on the body the person was hurt. Signature of person s.

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