SIGN IT (INDIVIDUAL)

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Name

First Name

Last Name

Academic Degree(s) and Field(s) of Study

Profession

Title(s)

Position(s) at Universit(ies) / Institution(s) / Organization(s)

Please specify both your title(s) and the name(s) of the universit(ies), institution(s), and/or organization(s).

City

State or Province

Country

Email Address

I acknowledge that my name will be included in the list of signatories submitted to governments and intergovernmental bodies.

Yes

I give my permission to have my name published on the Signatories page on this website.

Yes