Aquaculture CRSP
PD/A CRSP
Management Entity Oregon State University 418 Snell, Corvallis OR 97331
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PD/A CRSP Emergency Locator Form
USAID Grant No. LAG-G-00-96-90015-00

Date form completed:

1. Traveler Information

Traveler's name:

Traveler's institution:

Traveler's home address:


Home telephone (& email, if available):

2. If traveler will take up foreign residency, please provide

Overseas address:


Overseas telephone & email, if available:

3. Next of kin (to be notified in case of emergency)

Name:

Relationship to traveler:

Address:


Telephone (& email, if available):

4. Special instructions/conditions (describe below)

PD/A CRSP

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The Pond Dynamics/Aquaculture CRSP is funded under USAID Grant No. LAG-G-00-96-90015-00 and by the participating US and Host Country institutions. Questions for or about the Aquaculture CRSP? Comments about this site? Email aquafish@oregonstate.edu.

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