CONFÉRENCE DES NATIONS UNIES SUR
LE COMMERCE ET LE DÉVELOPPEMENT
UNITED NATIONS CONFERENCE
ON TRADE AND DEVELOPMENT
ACCREDITATION QUESTIONNAIRE
Hearing with civil society and the private sector
16 September 2009
Explanatory note:
Civil society organizations that do not have observer status with UNCTAD and those that were not
accredited to UNCTAD XII – and are interested in participating in the Trade and Development Board (TDB)
hearing with civil society and the private sector, which will be convened as part of the annual session of the
TDB from 14 to 25 September – are requested to complete and sign the application form. The completed
application and the requested documents (please see list below) should be sent before the deadline of 7
August 2009 to the address below. Applications will only be taken into consideration if they are fully
completed and signed.
Civil Society Outreach Unit
Communications, Information and Outreach
UNCTAD
Palais des Nations
1211 Geneva 10, Switzerland
Office: E- 8097
Fax: +41 22 917 00 56
Email: cso@unctad.org
Checklist:
Item
1. Completed application form
2. Mission statement
3. Copy of constitution/by-laws/statutes
4. Most recent report or other reports of the
organization with financial statements and a list of
financial resources and contributions, including
contributions from Government
5. List of members of the governing body of the
organization and their countries of nationality
Pls. tick
Disclaimer:
Successful applications for accreditation do not constitute a responsibility on the part of UNCTAD to providing financial
assistance for participation in UNCTAD's events, unless otherwise agreed to in writing.
Accreditation Questionnaire
1
Name of organization
and acronym:
Full address:
(street and postal code)
Telephone:
Fax:
Country code:
Area code:
Number:
Country code:
Area code:
Number:
E-mail:
Website:
Contact person:
Position/title:
Scope of organization (P
Please mark one of the following):
Local
National
Regional
International
Year of establishment:
Aims, objectives and activities of organization (if space is not sufficient, please include as attachments):
Activities and programmes related to UNCTAD’s work (if space is not sufficient, please include as attachments):
Accreditation Questionnaire
2
Finances
Latest annual budget of your organization (please specify income and expenditure):
Indicate the sources of revenue of your organization (tick appropriate boxes):
Membership dues
Sales of publications
Donations/grants from foundations
Government grants/donations
Grants from Intergovernmental bodies
Donations from private sector
Service fees
Other (pls. specify)
Membership (P
Please list members of your governing body and countries of nationality):
Total number of members (individuals and/or organizations):
List of countries of members:
Accreditation Questionnaire
3
Relationship with international organizations:
Is your organization in consultative status with the United Nations Economic and Social Council?
If yes, in what category? General
Special
Yes / No
Roster
Is your organization in consultative status or special relations with any other United Nations organs, specialized
agencies or other international organizations?
Yes/ No
If yes, please provide details:
Previous accreditations to UNCTAD:
Has your organization been accredited to an UNCTAD Conference in the past?
Yes / No
If yes, please indicate the most recent session/year?
Application completed by:
Name and title
Accreditation Questionnaire
Signature
4