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| PASSPORT NUMBER: PASSPORT EXPIRE DATE (Day/Month/Year): |
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| HOME ADDRESS: TELEPHONE NUMBER (Country Code/Area Code/Number): FAX NUMBER (Country Code/Area Code/Number): EMAIL ADDRESS: |
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| NAME OF THE ORGANIZATION: ADDRESS: TELEPHONE NUMBER (Country Code/Area Code/Number): FAX NUMBER (Country Code/Area Code/Number): EMAIL ADDRESS: |
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| DIETARY REQUIREMENT (IF ANY) |
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| I hereby certify that all the provided information is correct, accurate and complete to the best of my knowledge. In the event that I suffer injury, illness or death during the course of my participation in the program/course, I shall hold the Royal Thai Government, the Government of Japan, Japan International Cooperation Agency (JICA) and/or the Asia-Pacific Development Center on Disability (APCD) harmless and without any liability whatsoever for compensation towards myself, my legal representatives and/or my heirs. Should I cause any person loss of property, injury, illness or death during the course of my participation in the program/course, I shall be fully responsible and liable for the said person without reference whatsoever to the Royal Thai Government, the Government of Japan, JICA and/or APCD. SIGNATURE OF NOMINEE............................... PRINTED NAME OF NOMINEE ( ) DATE: |
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Q1. What kind of software or ICT equipment/tools does your organization use to support computer training courses?
Q2. In you opinion and experiences in the field, what are the priority needs of ICT for visually impaired persons in your country?
Q.3 What skills do you think are necessary to organize/implement ICT training for visually impaired persons?