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Doctors For Nutrition - Independent Food Systems Dialogue | Participation Form
Thank you for joining us on 14 July, 6:30pm AEST for this important conversation. Please complete the form below. The demographic information is a requirement of reporting for the United Nations. A Zoom link will be shared with you on 7 July, 1 week prior.
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Email
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Your email
Full Name
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Your answer
What's your age bracket?
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0-18
19-30
31-50
51-65
66-80
80+
Gender
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Male
Female
Prefer not to say or Other
What sector are you joining us from?
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Agriculture/Crops
Education
Healthcare
Fish and aquaculture
Communication
Nutrition
Livestock
Food processing
National or local government
Agro-forestry
Food retail or markets
Utilities
Environment and ecology
Food Industry
Industrial
Trade and commerce
Financial Services
Other:
What stakeholder group are you from?
*
Small/medium enterprise/artisan
Large national business
Multi-national corporation
Small-scale farmer
Medium-scale farmer
Large-scale farmer
Local Non-Government Organisation
International Non-Government Organisation
Indigenous People
Science and academia
Workers and trade union
Member of Parliament
Local authority
Government and national institution
Regional economic community
United Nations
International finance institution
Private Foundation/Partnership/Alliance
Consumer Group
Other
Please provide us with a short bio (<100 words) that you're happy to be shared with other participants. You may include up to 2 external links (e.g. organisation details, social channels).
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Your answer
Email address sharing
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