Fifth Forum on Minority Issues – 27 and 28 November 2012
Questionnaire for civil society organisations not in consultative status with ECOSOC
(to be sent to minorityforum@ohchr.org or faxed to + (41) 22 917 90 06
together with the accreditation request)
1. Name of organization:
2. Address of the organization:
3. Phone number:
4. Fax number:
5. Head of organization (title and name):
6. Website of the organization and email address:
7. Has the organization attended previous sessions of the Forum or of the former
Sub-Commission’s working groups (i.e. slavery, indigenous populations, minorities)?
Yes �
No �
If yes, please indicate which session(s):
8. Briefly describe activities carried out by the organisation which are pertinent to the
work of the Forum on Minority Issues:
I certify that the information provided in answer to the foregoing questions is true,
complete and correct.
Date / Signature (of the President, head, or main representative(s)):