Telefax: (662) 5162125 
Telex: 84276 AIT TH
UNEP RRC.AP
UNEP Regional Resource Center for Asia Pacific
Asia Institute of Technology 
P.O.Box 4, Klongluang, 
Pathumthani 12120, Thailand 
DATA REQUEST FORM
 
 
 
Telephone: (66-2) 516-2124 
(66-2) 516-0110 Ext 5365
 
In order to expedite your data request, please ensure that a copy of the following form is completed:
Address Information
Name ________________________
Title ________________________
Section ________________________
Organization ________________________
Postal Address ________________________
________________________
________________________
 
Phone No. __________________________
__________________________
Fax No. __________________________
Telex No. __________________________
Email Address __________________________
 
 
Data Sets Requested
Dataset Code  Title
____________ ________________________
____________ ________________________
____________ ________________________
 
Dataset Code Title
____________ _______________________
____________ _______________________
____________ _______________________
 
 
Data Media Information Additional Information
Media to use when sending the requested data (tick one): 

Diskette 3.5"  1.44 MB  __ 
CD  650 MB   __ 
 
Computer used to process the data _____________
Operating System used _____________
Software used to process the data _____________
Intended use for the data _____________
_________________________________________
 
 
Date of request ________________________ Signature ________________________
 

Click here to Download the Data Request Form in Ms Word format.
Click here to Download the Data Request Form in PDF format.