Name
*
Organisation
*
Country
*
Email
*
Name of the heritage under threat
*
Significance of the heritage for the affected community
*
Crisis threatening the heritage
*
Known damage(s) to the heritage
*
Proposed activities for safeguarding the heritage
*
Provide a short description of the needed activities
Estimated budget
*
How did you hear of Cultural Emergency Response (CER)?
*
If possible, attach photos of damaged heritage
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