SAHRDN APPLICATION FORM

APPLICATION FOR ASSISTANCE

Applications may be made by a potential host organization or institution, by the individual human rights defender concerned, or by a third party.

A: APPLICANT’S DETAILS

Please kindly provide your full names as per your identity/travel documents.

First Name

Last Name

Please give us full details of your organization organisation.

Organisation Name

Address

Phone Number

Email Address

Area of Work / Thematic Area:

Tell us a little bit about of your group/organisation’s aims and objectives and what its core business is. What has been its biggest achievement to date?

Please give us the name of the person who shall be the contact with the SAHRDN in this matter and their contact details telephone number and email

B: SECURITY THREATS

Are there security risks that you are facing presently? If so try to include as much information of what they are and the last event that made you feel you need to contact SAHRDN for protection or support.

Alleged perpetrators

Are there security risks that you are facing presently? If so try to include as much information of what they are and the last event that made you feel you need to contact SAHRDN for protection or support.

C: RESPONSE TO THREATS

Give us clear actionable details of the type of support that the SAHRDN can offer to deal with the threat that you and your colleagues are facing. Please support this with an itemized budget for each element that you need support from.

If possible please state clearly how you think that type of support can help deal with the threat you are facing.

D. REFERENCES CHECK

Which 2 people or organizations can the SAHRDN contact to get more information about your or your organization’s work? Please give contact details (name, organisation, phone, email)

E. DUPLICATION CHECK

Have you made a similar application to a like minded organization, and if so please state name of the organization.

Additional Information

SAHRDN APPLICATION FORM

Advice & support from a network of Human Rights Defenders barristers that you can rely on.

Advice & support from a network of Human Rights Defenders barristers that you can rely on.

SAHRDN APPLICATION FORM

Advice & support from a network of Human Rights Defenders barristers that you can rely on.

Advice & support from a network of Human Rights Defenders barristers that you can rely on.

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