Copies of this form must be submitted to both of the following GSCI offices: Gwich’in Social and Cultural Institute Executive Director P.O. Box 46 Tsiigehtchic, NT X0E 0B0 Phone: 867-953-3613 Fax: 867-953-3820 gsciexecutivedirector@learnnet.nt.ca Gwich’in Social and Cultural Institute Research Director 50 Rycon Drive Yellowknife, NT X1A 2V6 Phone: 867-669-9743 Fax: 867-669-7733 Ingrid_Kritsch@learnnet.nt.ca 9 DRAFT January 21, 2004

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