RAPID DAMAGE ASSESSMENT AND NEEDS ANALYSIS FORM-1

INITIAL REPORT
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    I. PROFILE OF THE DISASTER

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    GPS Coordinates:

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    II. INITIAL EFFECTS

    Total Population:

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    Affected Population:

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    Displaced Population:

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    DEAD:

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    MISSING:

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    III. STATUS OF LIFELINES AND CRITICAL FACILITIES

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    III. INITIAL NEEDS ASSESSMENT CHECKLIST

    Summary of Damages

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    Priority Need

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    IV. INITIAL NEED ASSESSMENT CHECKLIST

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