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The University of the West Indies, Mona
Earthquake Unit
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Data Request Form
Name of Institution
*
Type of Data
*
Type of data being requested.
Start Date of Data Period
*
Please enter the start date of the period of time for the data being requested.
Month
Month
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Year
Year
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End Date of Data Period
*
Please enter the end date of the period of time for the data being requested.
Month
Month
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Day
Day
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31
Year
Year
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2022
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2025
Purpose of Request
*
Please provide a description of the reason for your data request.
E-mail Address
*
Please provide your email address.
Contact No.
*
Please provide your telephone number.
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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
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18 + 1 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
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