SWITCH-Asia Sustainable Consumption and Production National Policy Support Component Sri Lanka

[01] Name of the Institution:

[02] Legal status of the Institution:

[03] Business Registration Number if relevant:

[04] Date of incorporation / establishment:

[05] Mandate / Main objects:

[06] Address:

[07] Contact Details - Land Phone: Mobile: e-mail:

[08] Requirements fulfilled to become an institutional member of theSCP Forum (refer eligibility requirementsfor Institutional Membership):

[09] Other institutional experience in SCP activities:

[10] Motivation and the intention of the institution in joining the SCP Forum:

[13] As an institution, our main priorityfor engagements / contributions shall be for (Please mark “(” the priority area/s) :
Sustainable consumption Sustainable production Both sustainable consumption and production

[14] Any other relevant information in support of the application:

[15] First Institutional Representative

[15 .1] Academic Qualifications:

[15.2] Professional Qualifications:

[15.3] Present Position: Working From (Date):

Telephone: Mobile: e-mail:

[15.4] Please give a brief description of your representative’s present duties and responsibilities:

[15.5] Address of the representative for communication (Private/Official):

Telephone: Mobile: e-mail:

[15.6] Previous employment of your representative:

[15.7] Details of SCP programs followed by the representative of the institutional applicant:

[15.8] Detailsof SCP Programmes the institutional applicant has been involved in. (Please state the specific responsibilities of the institutional applicant and the benefits accrued to the institution):

[16] Second Institutional Representative

[16 .1] Academic Qualifications:

[16.2] Professional Qualifications:

[16 .3] Present Position: Working From (Date):

Telephone: Mobile: e-mail:

[16.4] Please give a brief description of your representative’s present duties and responsibilities:

[16.5] Address of the representative for communication (Private/Official):

[16.6] Previous employment of your representative:

[16.7] Details of SCP programs followed by the representative of the institutional applicant:

[16.8] Detailsof SCP Programmes the institutional applicant has been involved in. (Please state the specific responsibilities of the institutional applicant and the benefits accrued to the institution:

Membership Application

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Sustainable Consumption & Production Forum Sri Lanka (SCP Forum Sri Lanka)

[15] First Institutional Representative

[16] Second Institutional Representative