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1. What is your name? (Required.)

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2. Which organization/government do you belong to? (Required.)

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3. What is your email address? (Required.)

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4. Would you be interested in engaging/collaborating in providing technical support to developing countries in formulating and implementing NAPs on: (Required.)

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5. If yes, could you please specify the areas of technical support you could provide? (Please also include regions and countries, if applicable)

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6. Are you a partner organization of the Nairobi Work Programme? (Required.)

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7. Would you be interested in making an action pledge under the Nairobi work programme on #4? (Required.)

For details on action pledges, see: http://www4.unfccc.int/sites/NWP/Pages/ActionPledges.aspx

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