FACTSHEET

FOR NGOs ENGAGED IN ACTIVITIES RELATING TO DRUG, CRIME PREVENTION AND CRIMINAL
JUSTICE
TO JOIN THE UNODC NGO Database

 Please fill out this form and return it to ngo.unit@unodc.org

ORGANIZATION:

Name
Acronym
Select your main work area (only one) ☐ Crime ☐ Drug
Is your organization recognized by the government? ☐ Yes ☐ No
If yes, indicate the registration number
Does your organization has ECOSOC Status? ☐ Yes ☐ No
If you are not sure about, kindly look for your organization into the UNDESA Database and look at your Consultative Status:
http://csonet.org/
If yes, indicate the status ☐ General ☐ Special ☐ Roster

CONTACT INFORMATION:

Address Street and

(HQ if house nb
international P.O.Box
organization) ZIP Code and
Town
Country
Contact (generic/ Tel
of the Email
organization) Website
Contact person 1 First name
Last name
Function ☐ Head ☐ Focal person ☐ Others
Email
Tel
Contact person 2 First name
Last name
Function ☐ Head ☐ Focal person ☐ Others
Email
Tel
Contact person 3 First name
Last name
Function ☐ Head ☐ Focal person ☐ Others
Email
Tel

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LANGUAGES:

Languages ☐ Arabic ☐ Spanish ☐ Russian

☐ English ☐ French ☐ Chinese
Others

ACTIVITIES:

Sphere of ☐ Prevention ☐ Treatment ☐ Rehabilitation ☐ HIV/Aids ☐ Wildlife and Forest

action ☐ Training ☐ Counselling ☐ Research ☐ Sustainable crimes
☐ Anti-Corruption ☐ Victim ☐ Anti-Human Development ☐ Maritime crime and
☐ Criminal Justice Protection Trafficking ☐ Education piracy
☐ Legal ☐ Education ☐ Arms control ☐ Human rights
Assistance ☐ Rule of law
Others
Short Mission (one
description sentence)
Main activities (60
words max)
Main achievements
(60 words max)
Target ☐ General public ☐ Youth ☐ Parents ☐ Women
groups ☐ Vulnerable groups ☐ Sex workers ☐ Migrants ☐ Street children
☐ Drug users ☐ Medical services ☐ Social workers ☐ Educators
☐ Victims ☐ Policy makers ☐ Prisoners ☐ Law enforcement agencies

Others
Reached by ☐ Peer-to-peer ☐ Training ☐ Phone ☐ Radio
☐ ☐ Internet ☐ Press release ☐ Television
Conference/seminar
Others
Intervention ☐ Lobby ☐ Sensitization ☐ Research ☐ Technical/ Legal assistance
☐ Mobilisation ☐ Education ☐ Documentation ☐ Supply

Others

MATERIALS:

Title Internet link

Main Publications
(3 max)
Videos
(3 max)
Website (other
than organization
website)

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OTHER OFFICES (if your organization is working in different localization):

Office 1 Country
Website
Email
Office 2 Country
Website
Email
Office 3 Country
Website
Email
Office 4 Country
Website
Email
Office 5 Country
Website
Email

AFFILIATED NETWORK:

Name
Address
Country

COOPERATIONS:

Type Name Acronym

Inter-Governmental partners
Governmental partners
Main Civil Society Organizations partners

ACTIVITIES WITH UNODC:

Participation to major UNODC events

Name Session Participant Year
number First name Last name
Commission on Narcotic Drugs (CND)
Commission on Crime Prevention and Criminal Justice (CCPCJ)
UN Crime Congress
Conference of the State Parties to the UN Convention Against
Transnational Organized Crime and its Protocols (CTOP/COP)
Conference of the State Parties to the UN Convention Against
Corruption (CAC/COSP)
Briefing for NGOs on the margin of the IRG to the United Nations
Conventions against Corruption
Multi-stakeholder Workshop on the United Nations Conventions
against Corruption

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Collaboration(s) with UNODC Office for project implementation
Name UNODC Office Year of implementation

Grant(s) received from UNODC

Name of the Grant Name of the project financed Amount financed by UNODC Year

Award(s) received from UNODC

Name Year

Participation in UNODC campaign

Name Year

FACTSHEET completed by:

First Name
Last name
Date
(DD/MM/YYYY
)

Factsheet Page 4 of 4 UNODC Civil Society Team