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. OK Question Title * 1. Contact details of the "Applicant":- Name * Address City/Town State/Province ZIP/Postal Code Country * Email Address * Phone Number OK Question Title * 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 OK Question Title * 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 OK Question Title * 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. Choose File Choose File No file chosen Remove File [Only upload a word document file] OK NEXT