Contact information

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* 1. Name

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* 2. Surname

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* 3. E-mail

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* 4. Re-type your e-mail

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* 5. Gender

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* 6. Name of the institution where you work or study (Please provide the full name of your institution)

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* 7. Please provide link to website of the institution where you work or study

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* 8. Type of institution

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* 9. Your role at your work place or institution

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* 10. City

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* 12. Is your institution member of one of the Research4Life Programmes (AGORA, Hinari, OARE, ARDI, GOALI) ?

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* 13. In the past, have you participated in any of the course listed below?

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