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ICSW 2019 Media Accreditation Application Form
Attachments checklist:
* Assignment letter
* Copy of passport / Identity document
Name *
Your answer
Surname *
Your answer
Position *
Your answer
Mobile / Whatsapp Number *
Your answer
Email address *
Your answer
Name of media organisation *
Your answer
Language of content / publication / broadcast *
Your answer
Country of publication / broadcast *
Your answer
Type of media (TV/video/radio/print/online) *
Your answer
Website of organisation *
Your answer
Links to previous work samples (please include at least three samples) *
Your answer
Areas of interest *
Your answer
Organisational affiliation / sponsorship (if any) *
Your answer
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