Name of Your Organization

Acronym - Where Applicable

Country

Working Fields

Date of Foundation

Number of Representations

Address of Organization

Telephone Number of Org.

Fax Number of Org.

E-mail Address of Org.

Web Page of Org.

Official Language of the Country

Preferred Language(s) While Contacting UNIW

Preferred Communication Means with UNIW

Fax E-mail Letter

President

Name & Surname

Period of Presidency

Occupation & Graduation

Mobile Phone(s) No.

Office Tel. No.

Home Tel. No.

E-Mail Address(es)

Authorized Person 2.

Name & Surname

Mission at Organization

Occupation & Graduation

Mobile Phone No.

Office Tel. No.

E-mail Address(es)

Authorized Person 3.

Name & Surname

Mission at Organization

Occupation & Graduation

Mobile Phone No.

Office Tel. No.

E-mail Address(es)

Short History of Your Organization

Outstanding Achievements & Activities Until Now in Accordance with the Establishment Goals

Scope of Your Organization

Local
National
International (Please Specify in Which Countries)

Which Type of Publications, if any, Does Your Organization Issue?

Are You Affiliated with Any National or International Non-Governmental Organizations or Any of the Coordinating Committees for NGOs?

3 Different NGOs or Individuals can be a Reference for Your Organizations

Area of activity/interest of your organization (please check one or more)

Comments, Requests or Recommendations for the UNION