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First name:
Last name:
E-mail:
Secondary e-mail:
Sex:
Organization name:
Organization type:
Position:
Where are you located?:
What is your primary language of operation:
What topics interest you most?:
Adolescents and Youth
Campaigning
Conflict/Post-conflict/Emergencies
Coordinated Community Response/Referrals
Costing
Data/Research
Economic Empowerment
Education/Schools
Faith-based/Religious
HIV and AIDS
Health
Justice
Legislation
Media/Journalism
Men and Boys
Migrants
Military/Peacekeeping
Monitoring and Evaluation
Police
Policies, Plans & Budgets
Prevention
Safe Cities
Shelters/Safe Spaces
Workplace/Employment
Other
What form(s) of violence do you/your organization work on:
Acid-throwing
Child/Early/Forced Marriage
Crimes Committed in the Name of Honour
Dating
Domestic/Intimate Partner Violence
Dowry-related
Economic
Female Genital Mutilation/Cutting
Female Infanticide
Femicide
Political
Prenatal Sex-selection
Sexual Assault/Rape
Sexual Exploitation/Trafficking
Sexual Harassment
Other
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