Organisational Support Form - ProtectDefenders % %

1. CONTACT DETAILS OF THE ORGANISATION / ENTITY MAKING THE REQUEST
Name of the organisation / entity*
Country of establishment*
Please indicate your preferred contact method. All communication will be kept confidential:
preferred contact method*
Phone number
E-mail address*
Please insert a short description of the organisation. Please also describe the organisation's mission and main focus of work.(250 – 4000 characters)
short description of the organisation*
2. PROPOSED ACTIVITIES
(or more generally, reason for applying): Please insert a description (250 – 4000 characters) of the proposed activities / description of the project*
2. PROPOSED ACTIVITIES*
3. SIMILAR APPLICATIONS SUBMITTED
Did you make similar applications to other possible donors, institutions, or organisations? If yes, please specify who (please provide contact details)*
yes-no-SIMILAR APPLICATIONS SUBMITTED*
3. SIMILAR APPLICATIONS SUBMITTED*
Have you received any grant from other organisations for similar purposes in the last two years? If so, specify who, amount and costs covered *
yes-no-received any grant*
3. received any grant*
4. CONFIDENTIALITY
should any specific information about the request be kept confidential? If so, ProtectDefenders.eu will not disclose individual names and contact information to any party outside of the organisation.*
Confidentiality*
This form is encrypted and its content is not shared with third parties. ProtectDefenders.eu will use your data exclusively to process your grant request.
Consent*
Please confirm you have read, understood, and agreed to the ProtectDefenders.eu privacy and data protection policy**
Consent*
I accept the processing of my data for the purposes of this request, in accordance with the privacy and data protection policy of ProtectDefenders.eu (without express validation to process your data, ProtectDefenders.eu will not be able to process the application)**
Comments
This field is for validation purposes and should be left unchanged.

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