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JES Safety and Security Acknowledgement Form / Formulario de reconocimiento de seguridad y protección
* Indicates required question
Email
*
Record my email address with my response
Full name / Nombre completo
*
Your answer
Role or Position / Rol o puesto
*
Your answer
Country or office location / Ubicación del país o de la oficina
*
Choose
Canada
Guatemala
Honduras
Guyana
Eastern Caribbean
Date of acknowledgement / Fecha de reconocimiento
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MM
/
DD
/
YYYY
Document / Documento
*
Annex A / Anexo A
JES activity or assignment name if applicable / Nombre de la actividad o tarea de JES, si corresponde.
*
Your answer
Supervisor or focal point name / Nombre del supervisor o persona de contacto
Your answer
Any safety concerns or questions to raise? / ¿Alguna inquietud o pregunta sobre seguridad?
Your answer
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