50x2030 Country Expression of Interest Form

PART 1: ELIGIBILITY

SECTION 1: COUNTRY PROFILE

Question Title

* 1. Country name (select one)

Question Title

* 2. Indicate the name of the government agencies to implement the 50x2030 Initiative in the country.

Lead Agency:

Other agency 1, if applicable:

Other agency 2, if applicable:

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* 3. Indicate the name and contact details of the country focal person/s who will serve as the main contact points for the Initiative and who could provide further details if required.

Focal Point from lead agency, name:

Responsibility/Title:

Email address:

Telephone number:

2nd Focal Point, name:

Agency:

Responsibility/Title:

Email address:

Telephone number

Question Title

* 4. Explain why the country is interested in joining the 50x2030 Initiative. Include the anticipated value-added the Initiative will bring to the country and the relevant current constraints it faces.

3% of survey complete.