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Pristupnica Akademiji za razvojnu rehabilitaciju
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Korak 1.
Unesite osobne podatake
OVIME IZJAVLJUJEM DA ŽELIM BITI ČLAN AKADEMIJE ZA RAZVOJNU REHABILITACIJU I DA ĆU POŠTIVATI ODREDBE NJEZINOG STATUTA.
Osobni podaci
Ime:
Zanimanje:
Odaberite
audio rehabilitator
defektolog
doktor stomatologije
fizijatar
fizioterapeut
glavna medicinska sestra
kinezoterapeut
liječnik
liječnik obiteljske medicine
liječnik školske medicine
logoped
medicinska sestra
medicinski tehničar
neonatalog
neuropedijatar
neuropsihijatar
odgojitelj
OSTALO
pedagog
pedijatar
pedijatar u primarnoj zaštiti
psihijatar
psiholog
radiolog
radni terapeut
rehabilitator
roditelj djeteta s odstupanjem
socijalni pedagog
specijalizant
stomatolog
stomatolog ortodont
student
viša medicinska sestra
viši fizioterapeut
viši medicinski tehničar
viši radni terapeut
Prezime:
Titula:
Mr.sc.
Dr.sc.
Doc.dr.sc.
Prof.dr.sc.
Prim.
Prim.mr.sc.
Prim.dr.sc.
Poslovni kontakt
Naziv ustanove:
Adresa ustanove:
Poštanski broj ustanove:
Telefon na poslu:
Mjesto ustanove:
Fax:
Država:
Bosnia and Herzegovina
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Croatia
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Montenegro
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Republic of Macedonia
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Serbia
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Slovenia
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Afghanistan
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Albania
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Algeria
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American Samoa
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Andorra
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Angola
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Anguilla
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Antarctica
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Antigua and Barbuda
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Argentina
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Armenia
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Aruba
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Australia
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Austria
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Azerbaijan
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Bahamas
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Bahrain
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Bangladesh
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Barbados
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Belarus
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Belgium
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Belize
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Benin
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Bouvet Island
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Brazil
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British Indian Ocean Territory
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Bulgaria
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Burundi
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Cameroon
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Canada
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Cape Verde
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Central African Republic
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Chad
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Chile
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China
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Christmas Island
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Cocos (Keeling) Islands
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Colombia
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Comoros
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Congo
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Cook Island
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Costa Rica
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Cuba
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Cyprus
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Czech Republic
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Denmark
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Djibouti
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Dominica
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Dominican Republic
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East Timor
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Ecuador
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Egypt
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El salvador
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Equatorial Guinea
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Eritrea
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Estonia
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Ethiopia
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Falkland Islands
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Faroe Islands
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Fiji
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Finland
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France
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French Southern Territories
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Gabon
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Gambia
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Georgia
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Germany
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Ghana
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Gibraltar
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Greece
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Greenland
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Grenada
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Guadeloupe
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Guam
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Guatemala
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Guinea
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Guinea-Bissau
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Guyana
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Haiti
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Heard Island and McDonald Isla
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Holy See (Vatican City State)
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Honduras
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Hong Kong
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Hungary
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Iceland
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India
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Indonesia
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Iran
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Iraq
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Ireland
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Israel
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Italy
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Jamaica
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Japan
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Jordan
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Kazakstan
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Kenya
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Kiribati
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Kuwait
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Kyrgystan
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Lao
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Latvia
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Lebanon
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Lesotho
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Liberia
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Libyan Arab Jamahiriya
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Liechtenstein
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Lithuania
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Luxembourg
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Macau
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Macedonia (FYR)
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Madagascar
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Malawi
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Malaysia
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Maldives
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Mali
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Malta
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Marshall Islands
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Martinique
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Mauritania
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Mauritius
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Mayotte
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Mexico
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Micronesia
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Moldova
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Monaco
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Mongolia
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Montserrat
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Morocco
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Mozambique
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Myanmar
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Namibia
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Nauru
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Nepal
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Netherlands
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Netherlands Antilles
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New Caledonia
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New Zealand
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Nicaragua
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Niger
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Nigeria
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Niue
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Norfolk Island
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North Korea
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Northern Mariana Islands
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Norway
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Oman
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Pakistan
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Palau
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Palestinian Territory Occupied
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Panama
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Papua New Guinea
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Paraguay
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Peru
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Philippines
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Pitcairn
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Poland
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Portugal
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Puerto Rico
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Qatar
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Republic of Serbia
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Reunion
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Romania
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Russian Federation
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Rwanda
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Saint Helena
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Saint Kitts and Nevis
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Saint Lucia
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Saint Pierre and Miquelon
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Saint Vincent and the Grenadin
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Samoa
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San Marino
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Sao Tome and Principe
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Saudi Arabia
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Senegal
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Seychelles
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Sierra Leone
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Singapore
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Slovakia
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Solomon Islands
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Somalia
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South Africa
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South Georgia
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South Korea
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Spain
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Sri Lanka
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Sudan
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Suriname
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Svalbard and Jan Mayen Islands
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Swaziland
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Sweden
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Switzerland
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Syria
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Taiwan
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Tajikistan
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Tanzania
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Thailand
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Togo
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Tokelau
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Tonga
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Trinidad and Tobago
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Tunisia
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Turkey
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Turkmenistan
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Turks and Caicos Islands
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Tuvalu
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Uganda
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Ukraine
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United Arab Emirate
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United Kingdom
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United States
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United States Minor Outlying I
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Uruguay
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Uzbekistan
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Vanuatu
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Venezuela
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Viet Nam
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Virgin Islands (British)
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Virgin Islands (U.S.)
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Wallis and Futuna Islands
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Western Sahara
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Yemen
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Zaire
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Zambia
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Zimbabwe
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Privatni kontakt
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