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Some fields must be completed before the form can be submitted. These fields are marked with an asterisk (*) following the label.
Please Indicate Your Primary Areas of Expertise in Accessibility and Technology (Examples: Access to the Built Environment, Universal Design, Health Care, Education, Transportation Facilities, Architectural Design, Codes and Standards Development, ICT's. Training, Human Rights, UN Convention, etc.)
If you have affiliations with other NGO's, Organizations of Persons' with Disabilities (ie: DPI), Professional Associations (ie: Association of Architects), etc. please list them here:
If the country you wish to represent is not your country of residence, please explain why you wish to represent it:
List the relevant accessibility related activities you have been involved in during the last year in this country:
Before you submit this form, please carefully review your answers. After you submit the form you will not be able to make changes without submitting an entirely new application.
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