Donor and International Organization Registration Form
       
  Organization Name
       
  In Indonesian :
  In English :
  Abbreviation :
       
  Contact Details
       
  Contact Person :
  Position :
  Indonesia Office / Representative :
  Province/City :
Post Code :
  Phone :
- Fax :
  Mobile Phone :
  Email :
  Headquarters office (for international organizations) :
  Country :
  Phone :
  Post Code :
  Fax :
  Website :
       
  Organization Profile
       
  Type of organization (select one) :
Indonesian donor (non governmental)  
Indonesian donor (governmental)  
International donor (non governmental)  
International donor (governmental)  
Intergovernmental organization / multilateral  
International resource organization  
International lobbying organization  
International training organization  
other, please specify :  
   
       
       
  Support Activities
       
  What types of support does/can your organization provide Indonesian peacebuilding organizations?
(please tick as many as relevant)
       
 
Funding :  
  small project grants
  project/program support
  institutional support (core funding)
  capital equipment
  other (specify) :
scholarships/bursaries/fellowships  
documentation/research/information resources  
international networking  
lobbying/advocacy  
solidarity movement  
training  
staff placement for technical support  
other (please specify) :
       
  Please provide details of the kind of support/services made available by your organization.
 
       
  Does your organization have a particular sectoral priorities? (tick as many as relevant)
 
human rights promotion reconciliation/negotiation/mediation
civic education trauma counseling
advocacy/lobbying peace journalism/media strategies
democratization conflict area development/rehabilitation
research/conflict analysis gender issues
early warning/fact finding civil society strengthening
dialogue facilitation promoting tolerance and pluralism
promoting good governance/rule of law IDP/refugee-related peacebuilding
peace education  
others (please specify) :
       
  Support Activities
       
  What kind of civil society organizations does your organization support? (tick as many as relevant)
 
NGOs in general religious organizations  
unions research organizations  
political parties professional associations  
other (please specify) :  
     
       
  Does your organizations have a particular geographic focus within Indonesia? If so, please indicate
 
       
  Please provide details of how Indonesian civil society organizations can access this support by indicating:
(as relevant)
- criteria for support
- how to apply for funding
- ways to access information services
- procedure for joining network, for example
 
       
  Naratif
       
  How does peacebuilding in Indonesia relate to your organizational strategy and objectives?
 
   
  Please give details about your organization’s background, vision and mission? (in less than 200 words)
 
   
       
  Networking
       
  Which Indonesian organizations does your organization work with regularly?
 
       
  What international networks is your organization part of?
 
       
  Additional Comments
       
 
       
       
 
       
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