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Think Twice, Act better
20/09-27/09/2014
Puygaillard de Quercy, France
Name:
Surname:
Address:
Date and Place of birth:
Gender:
Sending organization:
Email:
Passeport number:
Date of issue: Expiration date:
Tel number:
Emergency telephone and person to contact:
Special dietary requirements:
What do you want to share during this project? How can you be an active participant?
Please briefly describe your implication in local environmental initiatives and/or in the youth field.
Please mention your previous experience within the program Youth in Action. Please provide the information about your participation in the projects provided by Alternative-V
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