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<p class="TableText"><em>Assignment Name:&nbsp; </em></p>
<p class="TableText"><strong>[project_name]</strong><strong>&nbsp;</strong></p>
<p class="TableText"><strong>&nbsp;</strong></p>
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<p class="TableText"><em>Approx. Value of the Contract (in Current US$   or Euro)</em></p>
<p class="TableText">[contract_amount] [contract_amount_currency]</p>
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<p class="TableText"><em>Country:</em>&nbsp;[all_countries]</p>
<p class="TableText"><em>Location within Country: </em>[location_within_country]</p>
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<p class="TableText"><em>Duration of Assignment:</em>[duration]</p>
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<p class="TableText"><em>Name of Client:</em>[organization_name]</p>
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<p class="TableText"><em>Total N<span style="text-decoration: underline;"><sup>o</sup></span> of Staff-Months of   the Assignment:</em><em>&nbsp;</em>[total_staff_months]</p>
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<p class="TableText"><em>Address:</em></p>
<p class="TableText"><em>&nbsp;</em>[address]</p>
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<p class="TableText"><em>Approx. value of the service provided by your   firm under the contract (in current US$ Or Euro):</em><em>&nbsp;</em>[approx_amount] [approx_amount_currency]</p>
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<p class="TableText"><em>Start Date (Month/Year):</em>&nbsp; [start_date]</p>
<p class="TableText"><em>Completion Date (Month/Year):</em>&nbsp; [end_date]</p>
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<p class="TableText"><em>N<span style="text-decoration: underline;"><sup>o</sup></span> of Professional   Staff-months Provided by Associated Consultants:</em>[total_staff_months_by_associates]</p>
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<p class="TableText"><em>Name of Associated Consultants, If Any: </em></p>
<p class="TableText">[associates_list]</p>
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<p class="TableText"><em>Name of Senior Professional Staff of your Firm   Involved and Functions Performed (indicate most significant profiles such as   Project Director/Coordinator, Team Leader):</em></p>
<p class="TableText">[staff_list_with_position]</p>
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<p class="TableText"><em>Narrative Description of Project:</em></p>
<p class="TableText"><em>&nbsp;</em>[project_description]</p>
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<p class="TableText"><em>Description of Actual Services Provided by Your   Staff within the Assignment:</em></p>
<p class="TableText"><em>&nbsp;</em>[service_provided_by_all]</p>
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