ILGA OCEANIA REGIONAL CONFERENCE - SCHOLARSHIP APPLICATION FORM

A) APPLICANT’S DETAILS

These are the details of the delegate who it is proposed will be sponsored to attend the ILGA Oceania regional conference.

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* 1. Contact details of the "Applicant":-

Name *

Address

City/Town

State/Province

ZIP/Postal Code

Country *

Email Address *

Phone Number

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* 2. Are there any issues with ILGA Oceania publishing photos of the "Applicants", or having their image in pictures or videos at the ILGA Oceania conference/AGM, due to coming out issue or issues of safety etc?

Yes

No

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* 3. Are there any issues with ILGA Oceania publishing the "Applicants" name in the minutes if they attend the ILGA Oceania conference / AGM, due to coming out issue or issues of safety etc?

Yes

No

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* 4. Please provide a short description of your LGBTI background experience in human rights or community action:-

[Only upload a word document file]

PDF, DOC, DOCX file types only.