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<p>Assignment name:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Approx. value of the contract (in current US$):</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Country:</p>
<p>Location within country:</p>
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<p>Duration of assignment   (months):</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Name of Client:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Total No. of staff-months of   the assignment:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Contact Person,   Title/Designation, Tel. No./Address:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>&nbsp;</p>
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<p>Start date (month/year):</p>
<p>Completion date (month/year):</p>
<p>&nbsp;</p>
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<p>No. of professional   staff-months provided by your consulting firm/organization or your sub   consultants:</p>
<p>&nbsp;</p>
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<p>Name of associated   Consultants, if any:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Name of senior professional   staff of your consulting firm/organization &nbsp;involved and designation and/or functions   performed (e.g. Project Director/Coordinator, Team Leader):</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Description of Project:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>Description of actual services provided by your staff within the   assignment:</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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