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* 1. First name:

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* 2. Last name:

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* 3. E-mail address:

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* 4. Country (in English):

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* 5. Work place (institute, organisation):

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* 6. Work position (job role):

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* 7. Briefly describe what is your motivation to apply for this course.

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* 8. Institutional e-mail address to support registration (e.g. Direct Representative of the National Service or Head of Department/Division):

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* 9. I request for support (EUMETSAT will support a limited number of registrations for travel, accommodation and per diem, upon request)

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* 10. Please type in any other information that you consider relevant:

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