Statements Form

About the Person, Head of the Institution or a Group making the Statement:

Name(s) and Title(s): *

Title of the Statement:

Title:

Short description:

Date made: *

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MonthJanFebMarAprMayJunJulAugSepOctNovDec Month

Day12345678910111213141516171819202122232425262728293031 Day

Where made:

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Link Location

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Link/online location: *

Upload Document: *

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• Files must be less than 2 MB.
• Allowed file types: pdf doc docx.

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