MEDEX Assistance Program Application For USAID Contractors & NGOs
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What type of traveler(s) are you enrolling?
Individual Contractor
Corporate Employee
Why are you traveling?
Business
Leisure
Business and leisure
Are you filling this out for a single person, or for a group of people?
Single person
Group of people
Which of the following organizations or type(s) of organizations are financially supporting the operations for which you are traveling?
USAID
Asia Development Bank
Other governmental organization
Own corporate funds
Private Foundation
United Nations
World Bank
World Health Organization
None of the above
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