Spaces are limited so please complete this survey to register your interest and confirm your participation on or before October 31, 2019

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* 1. Your Contact Information

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* 2. What is the name of your organization/company?

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* 3. Which is your domain of work?

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* 4. Is your organization interested in attending this Conference?

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* 5. Is your organization able to cover your costs to participate in this Conference; visa/insurance/travel/accommodation?

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* 6. Are you working closely with another non-governmental organization(s) (NGO) in your country where you could coordinate and agree to send a single joint representative if necessary?

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* 7. Has there been a National advocacy campaigns in your country on Human rights of older persons?

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* 8. Would you recommend that your campaign gains be shared during the Conference?

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* 9. What information and activities would you find most useful at this Conference to support you in advocating for older people's human rights and a new UN convention in your country?

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* 10. What do you want the main outcome of this Expert-Conference to be?

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