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IDC Membership Application - Individual

Name:      
Postal Address:      
Phone number (include country codes)      
Fax number (include country codes)      
E-mail:      
Countries/Region of interest/activity:      
Language:      
Type of organisation/institutional affiliation:
Community based organisation Non-governmental organisation
Other local organisation NGO network or platform
National organisation University
Regional organisation Research Centre
International organisation Other - please specify:     

Type of Activities:
Work directly with refugees, asylum Provide funding to other organisations
seekers, migrants Research on refugee, asylum seeker
Lobby national government and migrant issues
Lobby regional or international systems Provide legal representation or carry
(EU, AU, OAS, UN bodies and agencies) out litigation on behalf of refugees, asylum
Provide training on refugee, asylum seekers and migrants
seekers and migrant rights Other - please specify:

Areas of expertise:
Refugees and asylum seekers Refugee, asylum seeker and/or migrant
Migrants’ rights health issues
Women, children and/or elderly Legal issues
Pastoral care Other - please describe:     
Interest in joining the IDC:
Please outline main reason/interest for joining the IDC      

Please provide (2) professional or academic referees so that the IDC can process
your application for membership.
Date:       Signature:
Please return this application via e-mail to: info@idcoalition.org or via post to the International
Detention Coalition, C/O Hub Melbourne, Level 3, 673 Bourke Street, Melbourne, Victoria 3000,
Australia. Please attach additional pages if further space is required.

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