世界地质公园申报自评估表(A表)_2016版

Region Country Telephone Fax E-mail

3. Address of the management body

4. Size of territory and geographical coordinates

Size in km 2

Geographical coordinates

Management body director

Geoscientist

Specialist on regional development

Name Position Date Signature Evaluation Document - A

Self Evaluation

Identity

Submitted by:

5. Contact persons

1. Name and country of the territory

2. Name of the management body