Anti-Corruption Practitioners Network

Membership Questionnaire

If you are interested in becoming a member of the Anti-Corruption Practitioners Network, please answer the following questions and send the completed questionnaire to:

Francesco.checchi@undp.org.

Personal data:

Name:

Title / Organization / Institution:

Office Address:

Telephone & Fax No.:

E-mail:

Job Responsibilities and Areas of Specialization:

Languages:

Additional Relevant Information:

___________________________________________________________________

Organization / Institution¹:

Name of Organization / Institution:

Address:

Telephone & Fax No.:

Website:

What are the objectives of your organization / institution?

Describe the main activities of your organization / institution:

Which of your organization’s / institution’s activities are related to combating public corruption?

1 To be completed by officers and employees of International Organizations, State Institutions or NGOs.