Pre-Registration: West Papua Solidarity Conference

1
Image Field
2
Name of Interested Participant* This field is required.
First Name
Last Name
3
Email Address* This field is required.The Organizing Committee shall get in touch with the participant through this e-mail.
example@example.com
4
Phone Number[Optional] For faster communications with WhatsApp and Signal users
Country Code
Phone Number
5
Organization* This field is required.Please type the full name of the organization. Do not abbreviate.
Full Name of Organization
6
Position in the Organizatione.g. Member, Chairperson, Spokesperson, etc.
7
Email Address of Organization* This field is required.
example@example.com
8
Tell us briefly about your/your organization's work on West PapuaYou may provide some links to relevant materials you have released in relation to this (e.g. reports, campaign materials, social media, websites, etc.)
Huge
Large
Normal
Small
Ok
Ok
9
Funding* This field is required.The event is working on a small budget and would not be able to sponsor all interested participants. A minimal registration fee (amount to be announced) shall be collected to cover local expenses such as meals, accommodation, and local transport.
I am able to secure funds for my participation (airfare and registration fee)
I request to waive the registration fee (airfares are still to be covered by the participant).
10
Subscribe to our mailing lists!Kindly click on the box/es below if you would like to be added to the mailing lists of the organizers. Subscribe to receive updates, news, announcements, and other materials from us!
International League of People's Struggles
Indigenous Peoples Movement for Self-Determination and Liberation
Merdeka West Papua Support Network
Should be Empty: