Human rights council

HUMAN RIGHTS COUNCIL
NGO Oral Statement Co-sponsorship Form
- SHOULD BE SIGNED AND BROUGHT IN PERSON TO THE LIST OF SPEAKERS’ DESK
- IF BASED OUTSIDE OF GENEVA, SCAN THE SIGNED FORM AND EMAIL TO: [e-mail]


1. Speaking Item No. (Please indicate ID/ GD/ Panel)_______________________
2. Name of the NGO (in consultative status with ECOSOC) delivering the statement:____________________________________________________________
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A. Name of the NGO (in consultative status with ECOSOC) joining the statement:____________________________________________________________
B. Contact info of authorized representative of co-signing NGO:

Name:____________________________________________________________
Email :____________________________________________________________
Mobile :____________________________________________________________
Signature of authorized representative:___________________________________
For Secretariat to fill out:
Name:
Date and time request received: