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MEDIA INTERVIEW REQUEST FORM

PLEASE SUBMIT TO THE IFSB SECRETARIAT ( Email to: siham@ifsb.org / rosmawatie@ifsb.org / Fax: + 603 9195 1405 ) BEFORE / ON Wednesday 26 APRIL 2013 Name of correspondent Media organisation Country Email Handphone No. I would like to interview the following persons during the 10th IFSB Summit on 16 - 17 May 2013. 1. 2. 3. 4. 5.
Thank you for your interest in interviewing the above person/s. The IFSB Secretariat will get back to you on the status your request. Thank you.

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