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* 1. Jurisdiction

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* 2. Name of Organization

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* 3. Full Name

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* 4. Job Title

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* 5. Email Address

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* 6. Short summary of gambling regime in jurisdiction

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* 7. Short explanation of why you want to be involved in the IGWG and what you want to get out of it.

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* 8. Short explanation of what knowledge/expertise you can bring to IGWG.

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* 9. Any comments on the ToR