I confirm that my organisation, named in #2 below, agrees to be listed as a signatory to the Civil Society joint statement "Rising to the challenge: world leaders need to urgently adopt solutions for refugees and migrants beyond the UN Summit" and score-card.

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* 1. I confirm that my organisation, named in #2 below, agrees to be listed as a signatory to the Civil Society joint statement "Rising to the challenge: world leaders need to urgently adopt solutions for refugees and migrants beyond the UN Summit" and score-card.

Name of my organisation:

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* 2. Name of my organisation:

My contact information:

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* 3. My contact information:

Headquarters of my organisation:

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* 4. Headquarters of my organisation:

Website of my organisation:

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* 5. Website of my organisation:

Type of organisation:

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* 6. Type of organisation:

Is your organisation a migrant/diaspora organisation or led by a migrant or diaspora member? (For this survey, 'diaspora' means either you or at least one of your parents or grandparents are or were migrants)?

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* 7. Is your organisation a migrant/diaspora organisation or led by a migrant or diaspora member? (For this survey, 'diaspora' means either you or at least one of your parents or grandparents are or were migrants)?

Are you a refugee, a migrant (for this survey, 'migrant' means outside your country of birth for more than one year), or consider yourself to be of the diaspora (for this survey, 'diaspora' means either you or at least one of your parents or grandparents are or were migrants)?

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* 8. Are you a refugee, a migrant (for this survey, 'migrant' means outside your country of birth for more than one year), or consider yourself to be of the diaspora (for this survey, 'diaspora' means either you or at least one of your parents or grandparents are or were migrants)?

Should we contact you for advocacy purposes beyond the UN high-level Summit on 19th September 2016?

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* 9. Should we contact you for advocacy purposes beyond the UN high-level Summit on 19th September 2016?

What is your organisation's main level of intervention?

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* 10. What is your organisation's main level of intervention?


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