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) Team or channel name ) enovt

Passpor Nationality Occupation


t (Reporter, Contact Flight
Name E-mail
number Journalist . number Information
...)
1 Team Leader X1171728 Indonesia Vice Editor in
: Name Chief 62811183247+ mahmeru1967@gmail.com
Totok Suryanto
Destination:
2 C0069276 Indonesia Cameraman +
Yudi Herisandi
628592121860 yuditvone2@gmail.com Flight
Muslim
8 number:
3 C9332610 Indonesia Reporter +
Mohamad Arrival date:
628151533562 msofyanone@gmail.com
Sofyan Muhadjir
7
4 Cholil Nafis B9725678 Indonesia News +
nafismdr@yahoo.com
Hasanudin Sources 628159905187
Notes
 The purpose from the visit
 Cities to cover
 Permit duration.
 Attach (passport, equipment list -word doc.-, travel tickets).

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