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Please provide information as follows:

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Organization/Tier : SOCAR-KBR LLC

Location where Azerbaijan incident occurred: Hyatt Tower 3, 2nd floor, Izmir street 8 City: Baku

Zip/Postal Code: AZ1065

Country: Azerbaijan

Do you wish to remain ANONYMOUS for this report?

If you want SOCAR-KBR LLC to know your identity, please select the answer "no" from the above options.

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