Formulaire de demande d'aide

Prénom et nom ___________________________________________________________


Adresse _________________________________________________________________


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Profession______________________________________________________________

Élaborer sur le type d'aide dont vous avez besoin
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Décrivez la méthodologie et le travail qui doivent être entrepris pour trouver des réponses

aux questions fondamentales:
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(Des feuilles additionnelles peuvent être jointes, si nécessaire.)