Annex D IEC/R Classifiers Application Form
P
Please
attach photo
Title:
Name:
Contact details:
Tel:
Current Organisation and Position:
Organisation:
Position:
Relevant USAR Operational Experience in the last 8 years in the following fields:
Management
Logistics
Search
Rescue
Medical
Previous IEC experience (please specify):
International Experience:
Previous mentoring experience:
INSARAG Training
INSARAG Awareness Training YES/NO Date:
UNDAC Induction Course YES/NO Date:
OSOCC Training Course YES/NO Date:
Earthquake Simulation Exercise YES/NO Date:
INSARAG Meetings:
USAR Team Leaders YES/NO Date:
INSARAG Regional Meetings YES/NO Date:
INSARAG Steering Group YES/NO Date:
INSARAG Working Groups YES/NO Date:
After Action Meetings YES/NO Date:
Other :
INSARAG USAR Capacity Assessment Missions
YES / NO Date:
Country:
USAR Deployments
Date |
Event |
Organisation |
Position |
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Applying For:
IEC Team Leader YES/NO
Management Classifier YES/NO
Logistics Classifier YES/NO
Search Classifier YES/NO
Rescue Classifier YES/NO
Medical Classifier YES/NO
Sponsoring Agency ___________________
INSARAG Political Focal Point ___________________
Name: ___________________
Email: ___________________
Phone: ___________________
Signature: ___________________
Note: By endorsing this application, the above mention applicant will be made available and financially supported to the INSARAG Secretariat at least once per year to function in the abovementioned capacity.
Kindly complete the form and send electronically to the INSARAG Secretariat, at [email protected]
ANNEX B2 PRODUCT ENVIRONMENTAL ATTRIBUTES COMPUTERS AND
ANNEX NO 1 TITLE NAME AND SURNAME OF
COMUNICAT DE PREMSA ANNEX DESCRIPCIÓ DELS
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