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PROJECT NAME*

DATE OF BEGINNING OF THE EVENT*

TIME OF THE BEGINNING OF THE EVENT*

DATE OF END OF THE EVENT*

TIME OF END OF THE EVENT*

PROJECT FORMAT*

WHAT LOCATION IN THE DOVZHENKO-CENTER ARE YOU INTERESTED IN? *

TARGET AUDIENCE*

EXPECTED NUMBER OF VISITORS*

IS THERE ANY AGE RESTRICTIONS? * YESNO

GROUNDS FOR PARTICIPATION IN THE EVENT:*

BRIEF INFORMATION ABOUT THE EVENT*

LANGUAGE OF THE EVENT*

HOW DO YOU PLAN TO DISTRIBUTE INFORMATION ABOUT THE EVENT? *

LIST OF PARTICIPANTS / AUTHORS *

FULL NAME OF THE ORGANIZATION / FULL NAME OF THE APPLICANT *

EDRPOU CODE / INDIVIDUAL TAX NUMBER*

FULL NAME AND POSITION OF CONTACT PERSON *

PHONE NUMBER *

E-MAIL *