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Registration of interest form
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Name of organisation
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District
Sinazongwe
Gwembe
Petauke
Nyimba
Kabwe
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Postal address
(Include town)
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Physical address
(Plot number, road, area and town)
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P
hone number
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s
)
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E-mail address
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Website (if any)
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Name of contact person
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Position in organisation
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