Name of organisation:

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Area of work/experience (for instance, community services, community representation, advocacy for human rights, environmental conservation, etc…):

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Which mobile indigenous community(s) your organisation working with/supporting?

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Language(s) spoken by the mobile indigenous community(s):

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Language(s) spoken by you (your organisation):

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Country or region of reference:

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Is your mobile indigenous community a subdivision of a larger people? If so, please describe:

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Please briefly describe their living area and resource tenure system:

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Please describe whether/ mobility is crucial for their livelihoods, cultural identity and sustainable use of natural resources and why:

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Please briefly describe their customary leadership (if one is applicable to them):

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E‐mail address (where to send you WAMIP mail):

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Name of Contact Person (first name, surname):

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Postal address (where to send WAMIP publications on behalf of the group completing this form): Address line 1:

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Address line 2:

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Address line 3:

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Postal code:

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City:

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Country:

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Telephone:

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Fax:

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Today’s Date:

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Please add any other comment, information or suggestion you may judge relevant:

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