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<head>
<meta HTTP-EQUIV="Content-Type" CONTENT="text/html;charset=windows-1250">
<META name="generator" content="Ana Garvas Delic">
<META name="title" content="HIDRA: Hrvatska informacijsko-dokumentacijska referalna agencija">
<META name="publisher" CONTENT="HIDRA, Zagreb, Croatia">
<META name="date.modified" SCHEME="ISO8601" CONTENT="2001-01-01">
<META name="rights" CONTENT="Copyright HIDRA, 1995-2001">
<META name="description" content="HIDRA - Croatian Information Documentation Referral Agency was established in 1994 for performing information, documentation and referral work i Republic of Croatia.">
<META name="language" content="en hr">
<META name="subject" content="official documentation">
<META name="keywords" content="adresar,agencija,arhiva,bibliografska baza,bibliografija,dokumentacija,država,eurovoc,hidra,hrvatska,informacija,link,mali vodič,međunarodna dokumentacija,politika,politička stranka,referalna,republika,služben,statistika,zemlja,stranka,svijet,tezaurus,pojmovnik,ustroj,vlada,vodič,">
<title>HIDRA - korisnicki zahtjev</title>
<LINK REL=stylesheet TYPE="text/css" HREF="../opci.css" TITLE="style">
<BASE hRef="hidran.hidra.hr/hidrae/ez10.asp"></head>
<body>
<font class=pb12>
<br>
<a href="http://www.hidra.hr">
<IMG SRC="../gif/mali.GIF" ALT="HIDRA" width=207 height=33 border=0>
</a>
<P class=pb14>Information Request Form</P>
	
  <form METHOD="POST" ACTION="/hidrae/ez10.asp" >
	<TABLE width=520 border="0" cellspacing="0" cellpadding="0">
     	
      	<TR>	<TD width=200 nowrap><font class=pb12>Name and surname</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Ime i prezime" VALUE=""  SIZE=50>
</TD>
			
      	<TR>	<TD width=200 nowrap><font class=pb12>Institution</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Institucija" VALUE=""  SIZE=50>
</TD>
			
      	<TR>	<TD width=200 nowrap><font class=pb12>Profession</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Zanimanje" VALUE=""  SIZE=50>
</TD>
      	<TR>	<TD width=200 nowrap><font class=pb12>Address at work</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Adresa na poslu" VALUE=""  SIZE=50>
</TD>
      	<TR>	<TD width=200 nowrap><font class=pb12>Address at home</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Adresa kod kuće" VALUE=""  SIZE=50>
</TD>
      	<TR>
      	<TR>	<TD width=200 nowrap><font class=pb12>Phone at work</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Tel. na poslu" VALUE=""  SIZE=50>
</TD>
      	<TR>	<TD width=200 nowrap><font class=pb12>Phone at home</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Tel. kod kuće" VALUE=""  SIZE=50>
</TD>
      	<TR>	<TD width=200 nowrap><font class=pb12>Fax</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="Fax" VALUE=""  SIZE=50>
</TD>
      	<TR>	<TD width=200 nowrap><font class=pb12>E-mail</font></TD>
         		<TD width=320 nowrap>
	<INPUT NAME="e-mail" VALUE=""  SIZE=50>
</TD>
		<TR>
 	</TABLE>
   	<TABLE width=520 border="0" cellspacing="0" cellpadding="0">
      	<TR>	<TD width=520 nowrap><p class=pb12><br>Theme and purpose of the information request:</TD>
      	<tr>	<TD><TEXTAREA NAME="Tema"  ROWS=10 COLS=63></TEXTAREA></TD>
		
   	</TABLE>
   	<TABLE width=520 border="0" cellspacing="0" cellpadding="0">
      	<TR>	<TD width=520 nowrap><p class=pb12><br>Preferred language:</p></font></TD>
      <tr>	<TD width=520 nowrap>
		<INPUT TYPE="CHECKBOX" NAME="hr" VALUE="X" unchecked><font class=pn12>
            Croatian;
		<INPUT TYPE="CHECKBOX" NAME="en" VALUE="X" unchecked><font class=pn12>
            English; 
		<INPUT TYPE="CHECKBOX" NAME="de" VALUE="X" unchecked><font class=pn12>
            German;
		<INPUT TYPE="CHECKBOX" NAME="fr" VALUE="X" unchecked><font class=pn12>
            French;
		<INPUT TYPE="CHECKBOX" NAME="it" VALUE="X" unchecked><font class=pn12>
            Italian;<br>
		<INPUT TYPE="CHECKBOX" NAME="drugi jezik" VALUE="X" unchecked><font class=pn12>
            any other language (please indicate which one):&nbsp;
	<INPUT NAME="koji_jezik" VALUE="" SIZE=20> 

<br>
		<INPUT TYPE="CHECKBOX" NAME="svaki_jezik" VALUE="X" unchecked><font class=pn12>
            any language on which is the requested information.</font></font></font></font></font></font></font>
       </TD>
      <TR>
	   <TD width=520 nowrap>
		<p class=pb12><br>The requested information needs to be:</TD>
	<TR>
         <TD width=520 nowrap>
		<INPUT TYPE="CHECKBOX" NAME="najnovije" VALUE="X" unchecked><font class=pn12>
            &nbsp;latest;<br>
		<INPUT TYPE="CHECKBOX" NAME="period" VALUE="X" unchecked><font class=pn12>
            &nbsp;created between 
	<INPUT NAME="od" VALUE="" SIZE=20> 

 and 
	<INPUT NAME="do" VALUE="" SIZE=20> 

 
			  </font></font>
         </TD>
	<TR>
	   <TD width=520 nowrap>
		<p class=pb12><br>Deadline date:</TD>
      	<TR>	
        <TD width=520 nowrap><font class=pb12>
	<INPUT NAME="rok" VALUE=""  SIZE=50>
      <TR>
	   <TD width=520 nowrap>
		<p class=pn12><br>Personal data are used only for communication with the information services users.</p>
</TD>
	<TR>
   </TABLE>
   <input TYPE="HIDDEN" NAME="hname" VALUE="hvalue"><br>
<p><input TYPE="SUBMIT" VALUE="Send">
   </form>
<br>
<br>
<br>
</html> 

