The document appears to be a form requesting personal information such as a name and journalist. It includes fields for contact information and signatures. References are made to a blog related to taxi strikes. The majority of the document is filled with blank lines between various sections requesting details.

1. ΟΝΟΜΑ:________________________
ΔΗΜΟΣΙΟΓΡΑΦΟΣ:_______________________________
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Χατσίκου Ιωάννα http://taksiasterati.blogspot.gr/
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