Pan Africa ILGA (PAI) 5th Regional Conference 'SANKOFA : Looking Back to Our Roots – Reclaiming Our Rights'              27 – 31 July 2020, Accra, Ghana

Please note that we need your full name as indicated on your ID/Passport for booking and security purposes.

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Email *
Have you attended a PAI Conference/s before? *
What year did you attend the PAI Conference/s? *
Are you representing a full member organisation of ILGA at the conference? *
First name  (as it appears on your passport) *
Last name  (as it appears on your passport) *
Preferred name (the name PAI will use in communications with you?) *
What is your preferred pronoun? *
Mobile number  (include country code) *
Emergency contact phone *
Physical Address *
What country do you reside in? *
What type of organisation will you represent? *
Which area/s of work does your organisation focus on? *
Biographical information (200 words)
Why is it important that you attend the PAN AFRICA ILGA 2020 CONFERENCE to represent your organisation? (100 words) *
Why is your organisation not able to pay for the registration fee, travel and accommodation costs for you to participate at the conference? (100 words) *
What are you and your organisation doing to advance the human rights and wellbeing of LGBTIQ+ persons in the African Region? (200 words) *
What do you think is most needed to strengthen organising, social dialogue, research and advocacy to advance the human rights and wellbeing of LGBTIQ+ persons in Africa? (200 words)   *
How will you take your experience of the conference back to your organisation and community? What difference do you think it can make? (100 words) *
Do you identify with any of the following? Please indicate at the bottom if you feel other identities should be added. We will follow recommendations. *
IF YOUR OPTIONS ARE MORE THAN ONE PLEASE SPECIFY UNDER  "Other" OPTION BELOW
Do you identify with any of the following? Please indicate at the bottom if you feel other should be added. We will follow recommendations. *
IF YOUR OPTIONS ARE MORE THAN ONE PLEASE SPECIFY UNDER  "Other" OPTION BELOW
Is there any other information on your identity you would like to share with us? *
Where do you live? Select only one *
What is your race? select only one *
Do you identify with a particular religious tradition? Select only one *
Details for reference 1
Name and last name *
Telephone number (include country code) *
Email address *
Organisation *
Details for reference 2
Name and last name
Telephone number
Email address
Organisation *
Details for person in your organisation who will give you a reference
Name of the organisation *
Address *
Contact details
Organisation lead/contact person
DECLARATION
I confirm that the information given in this application is correct. I confirm that I am submitting this application with the consent of the organisation I have stated I will represent at the conference. I am aware that my name, and the name of the organisation I represent may be shared in all accountability reporting that Pan Africa ILGA presents to our stakeholders and funders (unless otherwise indicated). I agree that my name, image, and the name of the organisation I represent will only be shared on public media platforms with my official consent. I agree that Pan Africa ILGA can contact any of the references named above. I agree that the contact details given in this form may be added to the Pan Africa ILGA database for future distribution of media and communications material pertaining to the LGBTIQ+ sector.
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