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__}{\f1\fs22\insrsid7035609\charrsid12675850 \par (Tirahan ng nominado)}{\f1\fs22\insrsid4204198\charrsid12675850 __________________}{\f1\fs22\insrsid12675850 ___}{\f1\fs22\insrsid7035609\charrsid12675850 \par \par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7035609\yts19 {\f1\fs22\insrsid7035609\charrsid12675850 Age: ____ }{\f1\fs22\insrsid12675850 }{\f1\fs22\insrsid7035609\charrsid12675850 Nationality: __________________ \par }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7035609\yts19 {\f1\fs22\insrsid7035609\charrsid12675850 (Edad) }{\f1\fs22\insrsid12675850 }{\f1\fs22\insrsid7035609\charrsid12675850 (Nasyonalidad) \par \par Tel. No.:}{\f1\fs22\insrsid4204198\charrsid12675850 }{\f1\fs22\insrsid7035609\charrsid12675850 ___________________ \par }{\f1\fs22\insrsid4204198\charrsid12675850 Cel. No.: ___________________}{\f1\fs22\insrsid7035609\charrsid12675850 \par Email: ____________________}{\f1\fs22\insrsid4204198\charrsid12675850 _}{\f1\fs22\insrsid7035609\charrsid12675850 \par }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid1134897\yts19 {\f1\fs22\insrsid7035609\charrsid12675850 \cell }{\f36\insrsid4204198 \par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12675850\yts19 {\f1\fs22\insrsid13463310 Name of Nominator}{\f1\fs22\insrsid12675850\charrsid12675850 : ______________________}{\f1\fs22\insrsid12675850 _}{ \f1\fs22\insrsid12675850\charrsid12675850 \par }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12675850\yts19 {\f1\fs22\insrsid12675850\charrsid12675850 (Pangalan ng }{\f1\fs22\insrsid13463310 nag-nomina}{\f1\fs22\insrsid12675850\charrsid12675850 ) \par \par Address: ______________________________}{\f1\fs22\insrsid12675850 __}{\f1\fs22\insrsid12675850\charrsid12675850 \par }{\f1\fs22\insrsid13463310 (Tirahan ng nag-nomina}{\f1\fs22\insrsid12675850\charrsid12675850 ) __________________}{\f1\fs22\insrsid12675850 _}{\f1\fs22\insrsid12675850\charrsid12675850 \par \par }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12675850\yts19 {\f1\fs22\insrsid12675850\charrsid12675850 Age: ____ }{\f1\fs22\insrsid12675850 }{\f1\fs22\insrsid12675850\charrsid12675850 Nationality: __________________ \par }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12675850\yts19 {\f1\fs22\insrsid12675850\charrsid12675850 (Edad) }{\f1\fs22\insrsid12675850 }{\f1\fs22\insrsid12675850\charrsid12675850 (Nasyonalidad) \par \par Tel. No.: ___________________ \par Cel. No.: ___________________ \par Email: _____________________ \par }\pard \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid1134897\yts19 {\f36\insrsid12675850 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f36\insrsid7035609 \trowd \irow0\irowband0\lastrow \ts19\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5220\clshdrawnil \cellx5112\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 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\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14567845\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb \brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10386\clshdrawnil \cellx10278\pard\plain \qj \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14567845\yts19 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f36\insrsid12584598 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f36\insrsid12584598 \trowd \irow0\irowband0\lastrow \ts19\trgaph108\trrh3824\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14567845\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb \brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth10386\clshdrawnil \cellx10278\row }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12675850 {\f36\insrsid12584598 \par Gumamit ng karagdagang papel kung kinakailangan}{\f36\insrsid12675850 \par (}{\i\f36\insrsid12584598 Pls use additional sheets if necessary}{\f36\insrsid12675850 ) \par }{\f36\insrsid6490854 \par }{\f37\fs22\insrsid6490854 \par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6490854 {\f37\fs22\insrsid6490854 Maaring ipadala ang nominasyon sa pinakamalapit na opisina o center ng Visayan Forum o sa pamamagitan ng email:}{ \f37\fs22\insrsid14029627 }{\field\flddirty{\*\fldinst {\f37\fs22\insrsid14029627 HYPERLINK "mailto:events@visayanforum.org" }{\f37\fs22\insrsid6567119\charrsid10553153 {\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b0200000017000000180000006500760065006e007400730040007600690073006100790061006e0066006f00720075006d002e006f00720067000000e0c9ea79f9bace118c8200aa004ba90b560000006d00610069006c0074006f003a006500760065006e007400730040007600 690073006100790061006e0066006f00720075006d002e006f00720067000000795881f43b1d7f48af2c825dc485276300000000a5ab00000000}}}{\fldrslt {\cs17\f37\fs22\ul\cf2\insrsid14029627\charrsid10553153 events@visayanforum.org}}}{\f37\fs22\insrsid14029627 ;}{ \f37\fs22\insrsid6490854 }{\field{\*\fldinst {\f37\fs22\insrsid6490854 HYPERLINK "mailto:publications@visayanforum.org" }{\f37\fs22\insrsid6567119\charrsid10553153 {\*\datafield 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