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Name of association*

First name Manager

E-mail address*

Telephone number Person Responsible

How many active volunteers?

Usual areas of action (districts or towns covered by the association) with precise information.

How many beneficiaries per outreach programme and where?

Resources planned (meals, clothing, essential kits, sleeping bags, hygiene products, etc.)?

Human resources/materials missing or needed (e.g. blankets, rucksacks, gloves, etc.)?

Will you be able to welcome volunteers exceptionally for the event, who are close to your areas of action? If so, how many ?

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