1. Contact information

 
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Before beginning the assessment, please fill in your contact information here, so that we may get in touch with you to share the results and performance of your city.

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The Ecomobility NMT Readiness Assessment project team

* 1. Full Name

* 2. Designation

* 3. Department

* 4. Organization

* 5. City

* 6. Telephone (office)

* 7. Telephone (mobile)

* 8. Fax

* 9. Email

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