Member Application – AHRN Foundation

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1 Organisation Representative

2 Organisation Objectives

3 Partners & References

Representation / responsible of your organisation Please insert the relevant Details about your organisation representative / responsible:

Name of representative or chair of your organisationFull Name

Organization

Address

Country of Origin

Country of residence (if different):

Email AddressValid Email

Phone NumberWith Country Code Please!

Skype IDIf Available

Website of your OrganisationIf Available

Your Passport Photo

Click Me to Upload

Board MembersPlease insert the names and professions (if applicable) of the board members of your organisation:

0 / 1000

Objectives of the organizationPlease describe (in details) the objectives of your organisation

0 / 1000

Areas of intervention, activities and projectsPlease describe the areas of interventions, activities and, projects that your organization has already carried out or are under implementation

0 / 600

Organisation partners and / or reference persons

Reference who should be contaPlease provide details of your partner organizations and / or reference persons who can be contacted to confirm your activities and / or projects:cted to support or endorse your request

Organisation partner and / or Reference person 1Name of organisation

Contact/ Reference person

Email AddressMust be Valid

Phone NumberWith Country Code Please!

Website of the organisationIf Applicable

Organisation partner and / or Reference person 2Name of organisation

Contact/Reference person

Email AddressMust be Valid

Phone NumberWith Country Code Please!

Website of the organisationIf Applicable