PROJECT MOMENTUM Steering Committee First Meeting
12 July 2023

Welcome!

Dear Participant,

Thank you for your interest in joining the Project Momentum Steering Committee First Meeting. Please complete this application form to join this meeting.

INTERPOL is committed to gender diversity, so we welcome applications from qualified male and female officers/staff.

The information below will be collected through an outside Internet Service Provider. If you would like to use the Interpol communications system to submit your information, or if you are having difficulty completing this form, please contact the Project Team at momentum@interpol.int.

This form consists of 8 questions and will take you 3-5 min to complete. Thank you very much!

Question Title

* 1. Please indicate your country

Question Title

* 2. What is your gender?

Male

Female

Preferred not to indicate

Question Title

* 3. Your personal information:
(Note: Please write the full name of your organization/agency. No acronyms please)

Family Name

First Name

Rank (if applicable)

Official Position or Duty title

Agency

Unit/Section

Duty Station

Office Telephone Number (with country code/area code)

Cellphone Number (with country code)

WhatsApp Number (with country code)

Telegram Number (with country code)

Question Title

* 4. E-mail address you wish to use for this activity

Question Title

* 5. Consent for data processing and registration

By completing this form, I can confirm that I am aware that this meeting which is held in the framework of the current INTERPOL Project may be screen-recorded by the organisers and/or that the photographs communicated by the participants via messaging apps (Whatsapp, Telegram, Viber, and/or others) or screen-grabbed by the organisers during the events can be used by INTERPOL for training and reporting purposes only. Any such recording will be stored on INTERPOL-approved platforms for as long as relevant (throughout the duration of the training/event) for educational purposes, and for a maximum period of 5 (five) years. I give my consent for INTERPOL to use my name, and/or voice and/or image for the above-mentioned training and/or recording purposes.

PROJECT MOMENTUM Steering Committee First Meeting 12 July 2023

Welcome!

Question Title

* 1. Please indicate your country

Question Title

* 2. What is your gender?

Question Title

* 3. Your personal information:(Note: Please write the full name of your organization/agency. No acronyms please)

Question Title

* 4. E-mail address you wish to use for this activity

Question Title

* 5. Consent for data processing and registration

PROJECT MOMENTUM Steering Committee First Meeting
12 July 2023

* 3. Your personal information:
(Note: Please write the full name of your organization/agency. No acronyms please)