WEI JINGSHENG FOR NOBEL PEACE PRIZE 1996

I declare to support the nomination of Mr Wei Jingsheng for the Nobel Peace Prize 1996.

First Name Last Name Nationality Function (3) Signature

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Notice:

1. Should you be willing to support this initiative, please send this coupon as soon as possible to the fax: +39-6-68805396.

2. If you prefer your support not to be made public, check here: __

3. According to the Nobel Peace Prize rules for selection, the following categories are eligible to propose nominations: Nobel Prize awarded, parliamentarians and/or members of governments, university professors of law, philosophy, history or political science.