AMR Multi-Stakeholder Partnership Platform

Membership Application Form

Please indicate the full name of your entity

Please enter your entity's website URL

Please indicate the official postal address for correspondence

Please enter your entity's social media handles

Please specify the entity type for your organization. If you have a mixed network, please choose several types from the list

From the list below, please choose the sectors applicable to your entity's work

Please choose the type of activities applicable to your entity

Please provide a brief description of your entity's governance and functioning (if available online, please refer to the website and/or organisational chart).

This document will typically be a copy of your entity’s legal registration with the local administrative authorities. If you are applying as a group which is not a legally registered entity, the certificate of incorporation of each of the organisations within the group must be submitted. This document is required from civil society organisations, private sector, philanthropic organisations, private financial institutions)

Please indicate your source or funding

The primary contact nominated should be the person within your entity who will act as the entity's day-to-day focal point for the Platform. All communications from the Platform to your entity will be directed to the primary contact.

Please indicate the name of the Representative that will represent your entity in the Platform

Please indicate the title/function of the Representative

Please indicate the e-mail of the Representative and/or any other e-mail enabling us to contact him/her

Please indicate the name of the Alternate that shall replace the Representative when the later is unavailable

Please indicate the title/function of the Alternate

Please indicate the e-mail of the Alternate and/or any other e-mail enabling us to contact him/her

Please choose the stakeholder cluster from the list below that matches your entity and that you would like to be a part of.

• The members agree not to use in any press release, memo, report or other published disclosure related to the Platform any of the other parties’ or Quadripartite organizations (FAO, UNEP, WHO and WOAH) name and logo without prior written agreement by the party concerned.

• Intellectual property rights, in particular copyright of material to be used to carry out the activities within the Platform shall remain with the originating party unless separately negotiated and agreed.

• Nothing in the Platform or in any document or arrangement relating thereto, shall be construed as constituting a waiver of privileges or immunities of Quadripartite organizations, nor as conferring any privileges or immunities of Quadripartite organizations to the other party or to its personnel.

• Being a member of the Platform does not constitute a formal partnership with any of the Quadripartite organizations or allow me to represent them under any circumstance. Neither does it imply that my entity may claim to have an advantage position to influence the decisions to be taken in the framework of the Platform's work.

• Neither Quadripartite organization nor any employee, subcontractor, agent or assignee of the Quadripartite organizations shall be liable for any direct, indirect, incidental, special, or consequential damages of any kind whatsoever (including, without limitation, attorneys’ fees and lost profits or savings) in any way due to, resulting from, or arising in connection with the participation in the Platform.

• Any agreement and any document or arrangement relating to the Platform shall be governed by general principles of law to the exclusion of any single national system of law.

By checking this box, I certify that I have read and agree with the Platform's Terms of Reference (ToRs) as well as with these General Conditions.

I also confirm that the nomination of the Official Representative and Alternate on behalf of my entity was coordinated and that they have the legal mandate to act on behalf of my entity. 

• FAO is committed to processing your personal data fairly, with integrity, responsibility, security and transparency, in accordance with its internal data protection rules, policies and procedures.

• FAO collects and processes your Personal Data for the purposes of and within the context of the Platform and any other purposes outlined in the Terms and Conditions. In particular, the Platform reserves the right to use your Personal Data, including Personal Data to post content received by email on behalf of the member.

• FAO may share your personal data with selected third parties (i.e., duly authorized partners or service providers) who perform support services for FAO.

• FAO makes every effort to ensure that these selected third parties afford a level of personal data protection and safeguards that are the same as or comparable to FAO.

• Please also read the FAO Data Protection and Privacy Notice for more information about how FAO processes your personal data.

By checking this box, I agree with the Data Protection Notices above and Terms and Conditions of membership, and hereby consent to my personal data being processed by FAO and its selected third parties for the above purposes.

By becoming the Platform's Member, I accept that contact names and email addresses may be shared through internal group communication (or other means) for networking purposes.

The Platform intends to publish a list of its Members on its website along with the logos and link to member's websites. If you want us to publish the name of your entity on the website along with the logo, please check the box below and send us your logo in high-definition at amr-platform@fao.org

By checking this box, I consent to subscribe to the Platform's newsletter and receive any communications pertaining to the Partnership Platform and my participation within via the email address provided in the form.