Membership Application Form

Thank you for your interest in becoming a member of the Amu Darya Basin Network. The network is a hub of local and international stakeholders in the Amu Darya Basin. It is an active policy platform for interaction, communication and knowledge sharing on key water governance issues in the Basin.

Contact Details

Name *

Contact Address

Telephone No

Email *

Website

Organization

Position Title

Affiliation *

Areas of expertise

Please indicate your main areas of expertise (thematic): *

Please indicate your main areas of expertise (geographic) *

Please indicate your main area(s) of interest(s) - Prioritise on a scale from 1 to 5 (1 being the lowest and 5 the highest). We may use this information when organizing thematic conference calls.

	1	2	3	4	5
Transboundary Cooperation	Transboundary Cooperation - 1	Transboundary Cooperation - 2	Transboundary Cooperation - 3	Transboundary Cooperation - 4	Transboundary Cooperation - 5
IWRM	IWRM - 1	IWRM - 2	IWRM - 3	IWRM - 4	IWRM - 5
Introducing Agricultural innovations	Introducing Agricultural innovations - 1	Introducing Agricultural innovations - 2	Introducing Agricultural innovations - 3	Introducing Agricultural innovations - 4	Introducing Agricultural innovations - 5
Water and energy nexus	Water and energy nexus - 1	Water and energy nexus - 2	Water and energy nexus - 3	Water and energy nexus - 4	Water and energy nexus - 5
Capacity development	Capacity development - 1	Capacity development - 2	Capacity development - 3	Capacity development - 4	Capacity development - 5
Adaptation to Climate change	Adaptation to Climate change - 1	Adaptation to Climate change - 2	Adaptation to Climate change - 3	Adaptation to Climate change - 4	Adaptation to Climate change - 5
Rural development	Rural development - 1	Rural development - 2	Rural development - 3	Rural development - 4	Rural development - 5
Environmental conservation	Environmental conservation - 1	Environmental conservation - 2	Environmental conservation - 3	Environmental conservation - 4	Environmental conservation - 5
Others, please indicate	Others, please indicate - 1	Others, please indicate - 2	Others, please indicate - 3	Others, please indicate - 4	Others, please indicate - 5

Prioritise on a scale from 1 to 5 (1 being the lowest and 5 the highest). We may use this information when organizing thematic conference calls.

If ticked other please let us know your area of interest

Short Description

Please provide short information about yourself (with relevance to Amu Darya Basin) *

Please provide short information on how did you hear about the network, why do you want to become a member, and what role do you wish to play in the network

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