A. General information
1 Name and acronym of the organisation in English:
2 Address of the organisation's Headquarters:
Street
Town/City
Postcode
Country:
Telephone:
Fax:
E-mail:
Internet site:
3 Year of establishment:
4 Type of organisation:
5 Organisational structure:
President and/or Secretary General of organisation: name, surname, address:
Structure and functioning of the organisation:
Staff
Number of members
6 Funding:
o Membership fees
o Public funding
o Private donations
o Other: please specify
7 Aims:
Please describe briefly the aim of your organisation:
8 Activities of your organisation:
9 Publications/journals:
Titles/number (per year/print run):
Does your organisation publish an annual report?
yes o no o
Does your organisation publish an annual work programme?
yes o no o
Does your organisation participate in EU practical cooperation measures/training/academic activities?
yes o no o
If yes, please mention which ones
Does your organisation produce a list of available publications related to the work of the EASO?
yes o no o
Please list other publication(s)/journal(s) that are most typical of your activities:
10 Geographical representation:
Please indicate the level at which your organisation is operating (local, regional, national, European and International):
B. Areas of possible co-operation with the EASO
Please indicate the areas of your organisation's activities which could be relevant to the different aspects of the work of EASO:
C. Modalities of co-operation with the EASO
Please indicate the preferred modalities of co-operation of your organisation with EASO:
o Participation in the Consultative Forum plenary meetings
o Expert meetings
o Internet consultations
o Others, please specify:
Name and Signature
Your position in the organisation
Date
Please enclose the following documents to support your application to participate in the EASO Consultative Forum
P the statute of your organisation
P a list of member organisations (if applicable)
P a report on recent activities
European Asylum Support Office, MTC Block A, Winemakers Wharf, Grand Harbour Valletta, MRS 1917, Malta — Tel: +356 22487500 4/4