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S this may result in the disquali cation of your nomination. Write NA for Not Applicable when necessary. Once nished, click Save As and save the form as a PDF le. Email the completed form along with a 2x2 inch colored identi cation picture to women telecentre.org or send via postal mail to Telecentre.org Foundation, CICT-NCC Building, C.P. Garcia, UP Diliman, Quezon City, Philippines 1101. N O M I N E E I N F O R M AT I O N Name of Nominee:.
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