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Their First Name *

Their Surname *

Country of residence. *

Your relationship to the person. *

Date when the incident happened. *

dd/mm/year e.g. 01/05/2012

Was the person unemployed or did they have financial problems? *

Yes

Would you like to tell us more about the circumstances regarding the incident?

Your Name. *

First and Surname.

Your Email. *

Can we contact you for a documentary and memorial that focus on the impact of the economic crisis on people's lives? *

Yes, please contact me.

No, thank you.

Thank you for sharing your story and helping us with this research. You are providing this material under the Creative Commons Attribution License and confirm that MoCC can use it across all media for future lectures, research, publications, exhibitions, current and future media, and all other events and activities. Please note, your name and email will remain confidential and will not be distributed to third parties. *

Agree to Creative Commons Attribution License.

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