Application for Membership Name of organisation: Address of principal office: City: Country: Telephone: Fax: E-mail: Country/ies in which your organisation is active: Areas of work of your organisation: Type of organisation: Non-Governmental Organisation (NGO) Indigenous Peoples Organisation Community Based Organisation (CBO) Academic or Research Institution Other (please specify in the next field "Overall objective of your organisation") Overall objective of your organisation: Geographic scope: Local National Regional Global For organisations representing a network only: Please name number of members, your organisation's geographical scope and a short description of the membership: Does your organisation directly implement projects? If yes, please shortly describe the projects and state the number of years of your involvement: * Have you been involved at community and/or national level discussions related to your country`s climate change strategy? If yes, please describe your role: Are you aware of any discussions or processes in your country relating to the accreditation of National Implementing Entities (NIE): Name and contact details of the person acting as focal point to the AF NGO Network in your organisation: Name and official title of other contact person: Date of submission: