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No. 17 / 23/ 2022-BPC&T. Government of India Ministry of Finance Department of Economic Affairs (BPC&T Section) TRAINING CIRCULAR North Block, New De lhi, 14'" March, 2022. Subject:- Online Malaysian Technical Cooperation Programme on " Diplomatic Training Course for International Participants 2022 by Institute of Diplomacy and Foreign Relation (IDFR) " from 23rd to 27th May , 2022. The Republic of Malaysia has invited nominations for online course on " Diplomatic Training Course for International Participants 2022 by Institute of Diplomacy and Foreign Relation (IDFR)" from 23rd to 27th May , 20 22 at Malaysia under t he Technical Assistance Programme with India. The programme is intended for the mid- c arrier/ junior diplomats and government officials whose job descriptions are related to the fields of diplomacy and i nt er national relations. The eligibility conditions and other information about the course are mentioned in the Information Brochure received from the sponsoring Government (Anne x-I). Number of slots available for India is two. 2. Nomination of candidates is regulated by the guidelines prescribed by DEA, a synopsis of which is attached as Annex · II . 3. The course is sponsor ed by Governme nt of Malaysia , who will provide course fees under the M TCP. All nominees are to submit their applicatio ns prescribed M TC P forms available at: htt : ll www .kln. ov .m I documents /8390448/83921841 4. The following forms need to be duly completed and certified by the participant and the competent authority of the nominating MinistrylDepartment (i) Sponsoring Gover nment's application form along with the other forms. (ii) DEA's proforma - duly coun t ersign ed by competent authority (Annex · m) . 5. Application Form complete in all resp e cts reach this Department through the Administrative Ministry/ Department not lat er than 13.04.2022 positively at the following address :- Shri R. Murali , Section Officer(BPC&T), Department of Economic Affairs, Ministry of Finance , Room No. 271 B, North Block, New Delhi-l 10001. Ph:- 011 - 2309 5135 Email· [email protected] ......... 2/-

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No .17/ 23/ 2022-BPC&T. Government of India Ministry of Finance

Department of Economic Affairs (BPC&T Section)

TRAINING CIRCULAR

North Block, New Delhi, 14'" March, 2022.

Subject:- Online Malaysian Technical Cooperation Programme on "Diplomatic Training Course for International Participants 2022 by Institute of Diplomacy and Foreign Relation (IDFR)" from 23rd to 27th May, 2022.

The Republic of Malaysia has invited nominations for online course on "Diplomatic Training Course for International Participants 2022 by Institute of Diplomacy and Foreign Relation (IDFR)" from 23rd to 27th May, 2022 at Malaysia under the Technical Assistance Programme with India. The programme is intended for the mid­c arrier/ junior diplomats and government officials whose job descriptions are related to the fields of diplomacy and international relations. The eligibility conditions and other information about the course are mentioned in the Information Brochure received from the sponsoring Government (Anne x-I). Number of slots available for India is two.

2. Nomination of candidates is regulated by the guidelines prescribed by DEA, a synopsis of which is attached as Annex·II .

3. The course is sponsore d by Governme nt of Malaysia, w ho will provide course fees under the MTCP. All nominees are to submit their applications prescribed MTCP forms available at: htt :llwww.kln . ov.m Idocuments/ 8390448/ 83921841 ~+2022+APPLICATION+FORM.pdr/31506rel-acea-44dl-88a2-7b4227e6bd2a.

4. The following forms need to be duly completed and certified by the participant and the competent authority of the nominating MinistrylDepartment

(i) Sponsoring Government's application form along with the other forms. (ii) DEA's proforma - duly countersigned by competent authority (Annex·m).

5. Application Form complete in all respe cts reach this Department through the Administrative Ministry/ Department not late r than 13.04.2022 positively at the following address:-

Shri R. Murali , Section Officer(BPC&T) , Department of Economic Affairs , Ministry of Finance, Room No. 271 B, North Block, New Delhi-l 10001. Ph:- 011 - 2309 5135 Email· [email protected]

.. ... .... 2/-

-2-

6. Incomplete applications and nominations received after the cut-off date will not be entertained . This may please be noted for strict compliance to avoid disappointment at a later stage. The candidates are advised to have their applications processed through their administrative Departments well in time and send complete information asked for in the forms spe cified above. Details of various short-term training programmes are regularly uploaded on Ministry of Finance's website WVv'W.finmin .nic.in under the link " Foreign Training Programmes (https; /Imofapp .nie. in/training/ default .aspx].

yKuma r) Under Secretary to e Govt. of India

Tele: 23095233 Email:- [email protected]

1. Joint Secretary(Admn.), Ministry of External Affairs, South Block, New Delhi. 2. Joint Secretary (Admn.) of all Ministries/Departme nts , Government of India . 3. Chief Secretaries of all States Gove rnments/ UTs.

TO BE UPLOADED ON MOF'S WEBSITE

This course will be relevant to mid-carrier/junior diplomats and

government officials whose job description are related to the

fields of diplomacy and international relations

The course is open to all MTCP recipient that qualify and can fully commit to the online course offered.

At the end of the course, the participants will be equipped with

the tools required to function more effectively as diplomatic

practitioners.

Participants will learn through online virtual lectures,

discussion, group and individual in exercises and simulations.

Participants will also be given assignments based on the

course requirements. The course will be fully conducted in

English.

Public Diplomacy Best Practices

Malaysia’s Foreign Policy

Crisis Management

Future Scenarios and Forward Thinking

Multilateral & Bilateral Practices: Malaysia’s Approach

International Negotiations

Protocols & Etiquette's

Leadership & Management for Diplomatic Officers

Practices in Diplomacy

Media Skills for Diplomats

Absence from any of the online scheduled programmes dur-

ing the course for any reason is strictly prohibited without

prior permission from the Institute.

All participants are expected to maintain a high level of

participation during the lectures, and conduct themselves in

an agreeable manner amongst their peers. Any show of poor

conduct will be treated seriously and immediate notification

will be sent to the participants’ mission in Malaysia and to

their respective Ministry of Foreign Affairs.

All participants must observe punctually at all times.

The course will be conducted fully online on a Google Meet

platform.

Interested applicants must fulfill the following criteria:

Nominated by their respective Ministries of Foreign Affairs;

Below 40 years of age;

One or more years of working experience in international

affairs/ relations or international trade;

Have a basic university degree; and

Proficient in the English language;

1. The course fees are fully sponsored by the Government of Malaysia.

2. Applications should be made using the prescribed MTCP forms available at https://www.kln.gov.my/documents/8390448/8392184/MTCP+2022+-+APPLICATION+FORM.pdf/31506fe1-acea-44d1-88a2-7b4227e6bd2a

3. MTCP application forms can also be obtained from the nearest Malaysian Embassy/High Commission in recipient countries.

4. All application forms must be duly completed and endorsed by the Ministry of Foreign Affairs or National Focal/Aid Coordinator Agency in the respective countries and submitted ONLY through the diplomatic channel via the Embassy/High Commission of Malaysia.

5. Only successful applicants will receive the Official Invitation notification one (1) week from the course date, by the Training Institute via email.

For enquiries, please contact: Mr. Harvinder Singh Ramday Centre for Political Studies and Economic Diplomacy, IDFR +603 21491150 Ms. Hanun Insyirah Ishak Centre for Political Studies and Economic Diplomacy, IDFR +603 21491077 Ms. Aida Yasmin Azhar Centre for Political Studies and Economic Diplomacy, IDFR +603 21491092 Email: [email protected]

MALAYSIAN TECHNICAL

COOPERATION PROGRAMME (MTCP)

INSTITUTE OF DIPLOMACY AND FOREIGN RELATION (IDFR)

MINISTRY OF FOREIGN AFFAIRS MALAYSIA

LEARNING OUTCOMES

COURSE METHODOLOGY

COURSE CONTENT

PREREQUISITE / ELIGIBILITY

HOW TO APPLY

RULES AND REGULATIONS DURING COURSE

DIPLOMATIC TRAINING COURSE FOR INTERNATIONAL PARTICIPANTS 2022

23 - 27 MAY 2022 12:30—18:00 Malaysia (GMT +8)

(ONLINE)

TARGET GROUP

APPLICATION DEADLINE 22 APRIL 2022

Malaysia is a Southeast Asian country occupying the Malaysian Peninsula and part of the island of Borneo. It is known for its beaches, rainforests and mix of Malay, Chinese, Indian and European influences. The sprawling capital, Kuala Lumpur, is home to colonial buildings, busy shopping districts such as Bukit Bintang and skyscrapers including the iconic, 451m-tall Petronas Twin Towers. Nestled in between Thailand to the north and Singapore to the south, Malaysia is a federation which consists of 13 states (11 in West Malaysia, and two in East Malaysia) and three federal territories. As a federation, the governance of the country is divided between the federal and the state governments. Malaysia is a parliamentary democracy with a federal constitutional monarch, in which the DYMM Yang di-Pertuan Agong is head of state and the Prime Minister of Malaysia is the head of government. Since the early 1980s, Malaysia has steadily diversified its economy. Major Changes include a departure from a reliance on the cultivation and export of raw materials, in particular natural rubber, to a focus on services, manufacturing and tourism. Tourism, in particular has had a significant impact and, as a generator of foreign exchange, is second only to the oil industry. Malaysia is a tropical holiday destination, where temperatures fluctuate between 25 and 35 degrees Celsius throughout the year. Nice breezes can be enjoyed on the many islands surrounding Malaysia, while the 'highlands' offer cooler temperatures that never exceed 25 degrees Celsius. Language Bahasa Melayu, English is widely spoken Population 32 million Ethnic 68.8% Bumiputera (Malay + Indigenous), 23.2% Chinese, 7.0% Indian & 1.0% Other Capital Kuala Lumpur Currency

Ringgit Malaysia (RM) / Malaysian Ringgit (MYR)

The Institute of Diplomacy and Foreign Relations, also known as IDFR, was established on 1 July 1991 under the Prime Minister’s Department following a Cabinet decision dated 6 March 1991. It was officially launched that same year on 12 August by the then Prime Minister Dato’ Seri Dr. Mahathir Mohamad. On 27 March 2001 IDFR officially became part of the Ministry of Foreign Affairs of Malaysia. Located in Kuala Lumpur, IDFR is housed in the former building of the Foreign Ministry. Its new campus was opened in 2006. As the Ministry’s training arm, IDFR conducts training programmes for Malaysian diplomatic officers as well as officers from other government ministries and agencies. Apart from the main diplomatic training courses, IDFR provides mid-career and follow up professional skills training to help enhance the professionalism of serving officers. The training programmes are practitioner-oriented and are aimed at equipping officers with the skills and knowledge to meet the challenges they face in the conduct of their professional duties. The Institute provides training in two broad areas-diplomacy and foreign relations, as well as foreign languages. In collaboration with the National University of Malaysia (UKM), IDFR offers a thirteen month postgraduate programme for a Master of Social Science in Strategy and Diplomacy. IDFR also offers training courses to more than 136 countries worldwide, namely to participants from developing countries under the Malaysian Technical Cooperation Programme (MTCP), ASEAN, Colombo Plan and Commonwealth countries. IDFR trainees have numerous opportunities to participate in seminars, workshops and round table discussions, and benefit from keynote addresses and lectures by distinguished visiting scholars and international leaders. Speakers under IDFR’s Public Lecture Series have included Ban Ki Moon, Kofi Annan, Lee Hsien Loong, Sultan Hassanal Bolkiah, the late Nelson Mandela, the late Benazir Bhutto and the late Yasser Arafat

Date : 20 - 24 June 2022 Platform : Google Meet

Overview Diplomacy in the 21st century is fast becoming a more intricate and multifaceted practice. With globalization today, the nature of diplomacy has shifted into a new direction and poses new challenges for diplomats, it has also became more significant and diverse as well. These officials are demanded to master professional negotiations techniques and develop sharp critical thinking skills with essential leadership and diplomacy qualities. Hence such a course is critical for serving diplomatic officers/officials so that they may grasp essential insights into the craft of diplomacy and their effective application, and to keep abreast of current international issues and new methods for effective diplomatic practices.

ABOUT MALAYSIA MALAYSIAN TECHNICAL COOPERATION PROGRAMME

About MTCP

The Malaysian Technical Cooperation Programme (MTCP)

was officially launched on 7 September 1980 at the

Commonwealth Heads of State Meeting in New Delhi, India,

to signify Malaysia’s commitment to the South-South Cooper-

ation, in particular, the Technical Cooperation among

Developing Countries (TCDC).

The MTCP emphasizes on the development of human

resources through the provision of trainings in various areas

which are essential for a country’s development such as agri-

culture, economy, finance, public management and admin-

istration, science & technology and ICT, health diplomacy,

safety and security including cyber security, cultural diploma-

cy, social development, environment– related to SDG2030,

education, industrial and technical training. Annually, Malaysia

offered more than 60 technical and capacity– building pro-

grams under the MTCP, which have benefited more than

35,500 participants from 144 countries.

OBJECTIVES OF MTCP

To share the development experience with other

countries;

To strengthen bilateral relations between Malaysia and

other developing countries;

To promote South-South Cooperation (SSC); and

To promote the technical cooperation among Developing

Countries MTCP: DIPLOMATIC TRAINING COURSE FOR

INTERNATIONAL PARTICIPANTS 2022 (ONLINE)

INSTITUTE OF DIPLOMACY AND FOREIGN RELATIONS

SUMl'vlARY OF GUIDELINES PRESCRIBED BY DEPARTMENT OF ECONOMIC AFFAIRS

Before applying Cor Ihe tr~inll'lg programme , the candid~ll.!!i are reques ted to lI ;&tis-fy themselves whether they (ulfill the eliqibility conditions as per the guideuII('II on rorelgn Traimng Programmes (ITP) administe~ed by the Depanmcnt of Econonuc Affa.lts (DEA). swnmalized below

tllgib ility Cond itions

---DlUation No. of years of service Upper .~COOhng Limit on participation in nu..rnbe r of of Tra.i.ning completed ill Govt. as limit a s onlhe off t.r ain in gs in a yeu

on the dale of f'Tp da le of MP period Uptoone 5 ye an; Lesslhan 58 Sox Two n'Ps of dUrftllon of less than one week in w_k ye~ months a calendar year One to Two 7 years Less than 58 One One M'P of dW'8uon of one to two weeks in a weeki years year calendar Jear More Ihan 9 years Less than 55 Two One n'P of durauon more than two weeki In

<woweeks . years , years a penod of two_ Yetars . . .I!2!J..i..:. Project related lrammg/ offlCllll YlSlts abroad are ezempt from the prOVUlOn of cooltng off .

Z. candidates and nonunatmg authentles 111 Miruslnes!DepanmentsiState Covts. etc. should ~so satUfy themH Jwe$ about ~ eUgihility conditions prescribed by the sponsonng foreign Government/agency b efore sending the nominations to DU.

ROW TO &PfLT

3. Filling up of application Corms :-

(i) Ensure that the DEA profontYI. is duly filled in and 1S complete 111 all rcspoctS.. Without tlilis proforma, applicatiom wiD not be eruenained.

(Li) Ensure that the applica tion form prescribed. by the sponsoring agent:y is a.lao complete it'_ all respectl. WhereYer the SPOlUOnng a/l6ney asks for Country Repon, the same should also be attach.d.

(ill) The column relating to Vigilance Clean.nce in OM proforma should be filled 111 and cenified by the competent authority. Alternately. vigilance dearance cenificate by the concerned authority can ;Uso be attached. Applications Without vigilance clearance at the time of applying wtll not be entertained

(iv) In case of tra.lnlng progranune s which u c not fully sponsored and whenl expenaes on Air travel or any othe r expenses have to be borne by the candidate or his sponsoring Dep&rtment, eM\U'e that Pan-A or Pan-B, as the case may be, of the Undertaking Form is duly completed.. Applications received without undenwng form will be IJU.I\UT\UilJ rejected. It m..ay be noted that submission of undertaking fonn is Dot necessary in respect of fully funded training progranunes and the c~didil.te can mention ' Not Applicable ' in the fonn.

4. Nomina tions j-

(i) In cue there is more than one nomination for a particular cou:rae, the nominating authority Slate/Cennl Government should clearly indic:ate the prioriti&ation of the nominees .

(ii) App lication {or the training p rogramme is to be forwarded through the concerned MinistrylDepartmont alte r completing all necessary formalitie s. Applications are not to b e senl to the sponsoring foreign countryl agency direct unle .. the same hcu bc@onendorsed by the Nodal Department i.e. OEA.

S. Clevtnccsj-

Once the nomination fonvatded bJ DEA to the sponsonng fo reign Government is accepted and conveyed to the applicant, helshe will. be responsible to complete all pre-depan\U'e formalities like obtairung poht~ clearance from MEA and ~ve the sanction ordar issued from hialhet adminis trative Department etc.

JUJbreriationJ j-

IICA - Japan lntemalionai Cooperation Age ncy. SCPTA _ Sil\gapore Cooperation Progn.mme Training Award. IMr -International Mono tary Fund, MTCP _ MalaYSian Technica.l Cooperal1on Progranunc

,

I. N" H'.'

2. Datc 01 Un'lh

1 , Edu catlOlla l Qualilications

Dr" t'I:OIIII(\1:' J'(IH I OJ:J"Ii~ f1t\!\!,\(

5. Sc~\'icc to which I 6 Dale of . cgu l.Jr ~c olfi cc~clo~ _ _ ~ L ......!!EpOlUlmcnt I

12' Dctaib of posts helel d uri.!!.S Ihe last five years (5Ulrti"o[rom Ole prcscI!iJ.: -

I S N f P h T MiI1 Ls try/ DcpartIlH' nt / r --- -- ---. o. ost c ld ..' . a tlll'c of work/ lob pro fil e , _ _ ~ 01 f!,mL'l.a tIOIL __ _

" I i 1 1 -1 ___ J

I r--t- +-f-l----t-- -~ I I I 8, Name offo reign training

p rogramlL1 e appli ed for a nd it. .. r e levance to OLe candida te

9. Papcrs e tc, ifany publ ished by the candida te

10. Details ofFo l·ei.l!:n Trainint! PI'ot!rammes a tten ded d urin!! tlle las t two vea l's Da tes & Durati on

Subject/ title of training Name of the

Source of S, No. of til e tra ining traini ng oroerammc Institution

funding

Sign a tu re of til e ca ndida te: - ---- ---

Office Phone No, Mobile No,:

- -[ -mail:

- - --- -CERTIFICATE

Certified lh a t SI,,' i / M~ __ is de:u' f,'om viJ;iI ~lIIec ~'l1 g l e , In case

t he p rol!ram lllc is 11 0t fullv funded, Ullclc l'takin g in the p rcscl'ibcd pro!orln<1 (Part A/ ParI UJ is a U .. ,chcd, _

Sign ature of the cOm l)ctcnt a dministra tivc a ulhodty or the a pplicant wilh Name, Desig na tion , I Phone numbe l"antl E- m ail (nlo n g

1 ~h office seaD - -

NOTE : This application form should be duly completed and endorsed by the National Focal Point incharge of Techncial

Cooperation in your country. Forms which are incomplete or not endorsed will not be accepted.

LAMPIRAN C

1

MALAYSIAN TECHNICAL COOPERATION PROGRAMME (MTCP)

APPLICATION FORM (ONLINE) 2022

Please type or write clearly in capital letters. Do not leave any space blank. Use “NIL” or “N/A” where applicable

FOR OFFICIAL USE ONLY

Title of Course:

Date of Course:

1. PERSONAL DETAILS

Family Name (surname): Date of birth :

Day Month Year

First Name: Citizenship:

Other Names: Gender:

City and country of birth: Marital status:

Passport No.: Type of Passport: (Diplomatic/Official/Regular)

Expiry Date:

Religion:

2. CONTACT DETAILS

Mailing Address:

Office Address:

Mobile: Home:

Country Area Number Country Area Number

Office: Fax:

Country Area Number

Email:

Country Area Number

Person to be contacted in case of emergency :

Family Name: Relation:

Mobile Number: Address: Email:

Office Name: Position:

Mobile Number: Address:

Email:

Reference no :

Received :

Checked : Recommendation: by Mission

Please affix passport size photograph

YES

NO

NOTE : This application form should be duly completed and endorsed by the National Focal Point incharge of Techncial

Cooperation in your country. Forms which are incomplete or not endorsed will not be accepted.

2

3. EDUCATION

Name of institution and place of

study

Major/Field of study

Years

Degree

4. EMPLOYMENT RECORD

A. Present or most recent post

B. Previous post

Employer: Employer:

Years of service ( from – to): Years of service (from – to):

Title of your post/position: Title of your post/position:

Type of organization:

Government / Semi Government / Private / NGO

Type of organization:

Government / Semi Government / Private / NGO

Please describe briefly your work including your responsibility.

*Please continue on supplementary pages if necessary

NOTE : This application form should be duly completed and endorsed by the National Focal Point incharge of Techncial

Cooperation in your country. Forms which are incomplete or not endorsed will not be accepted.

3

REASONS FOR APPLYING THIS COURSE 5.

Have you participated in any training programme in Malaysia before?: YES/NO Name of Programme: Organiser: Year: Have you participated in any MTCP training programme in Malaysia before?: YES/NO Name of Course: Name of Training Institute: Year:

6. ENGLISH LANGUAGE PROFICIENCY Excellent Good Fair Basic Remarks

Listening

Speaking

Writing

Reading

Mother tongue :

Please state briefly the reasons for applying to this course and how you hope to benefit from the course.

Please continue on supplementary pages if necessary

NOTE : This application form should be duly completed and endorsed by the National Focal Point incharge of Techncial

Cooperation in your country. Forms which are incomplete or not endorsed will not be accepted.

4

9. TO: GOVERNMENT OF MALAYSIA

APPLICANT’S DECLARATION 7.

I, of Name of applicant Representing Country

Declare that:

a) All information provided is true, complete and accurate to the best of my belief and knowledge, and that I

have not wilfully suppressed any material facts;

b) I am medically fit and free from any medical problems which may impair my ability to attend and complete

the training; and

c) I grant my portrait right licence to MTCP, which is to allow MTCP to shoot photographs and/or videos of my

participation to the MTCP and utilize them for the public relation materials of MTCP where and when

necessary.

Upon successful selection for the training award, I undertake to:

a) carry out instructions and abide by such terms and conditions as may be stipulated by the nominating

and host governments in respect of this training course;

b) abide by the rules and regulations of the training institution in which I undertake to study in or be trained under;

c) submit/present any report which may be required;

d) refrain from engaging in political activities and any form of employment for profit or gain; and

e) discontinue the course should I be found guilty of misconduct or be medically unfit.

I fully understand that if I fail to comply with the terms and conditions of the training award, and/or any of

the above declarations are found to be untrue, the award will be terminated with immediate effect.

Date Signature of applicant

NOTE : This application form should be duly completed and endorsed by the National Focal Point incharge of Techncial

Cooperation in your country. Forms which are incomplete or not endorsed will not be accepted.

5

TO: GOVERNMENT OF MALAYSIA 8.

LETTER OF INDEMNITY

I , Passport Number: having an address at

, hereby declare that I shall be personally liable for and shall indemnify the

Government of Malaysia and against all liabilities, claims, losses, demands,

actions, suits, proceedings, costs or expenses, in part/total, whatsoever arising under the laws of Malaysia or

common law which may be made or taken against the Government of Malaysia and/or ______________________

or incurred or become payable by the Government of Malaysia and/or in respect of

any medical illness, personal injury (whether fatal or otherwise), or the death of any person, by reason of my

carelessness, negligence, omission or default, in the course of my training with which

is appointed by the Government of Malaysia. Dated this day of 2022.

Signature of applicant )

Name of applicant )

Date )

In the presence of

Signature of Witness )

Name of Witness )

Designation of Witness )

I/C or Passport No. )

Name of training institute

Name of training institute

Name of training institute

Name Of Training Institute

NOTE : This application form should be duly completed and endorsed by the National Focal Point incharge of Techncial

Cooperation in your country. Forms which are incomplete or not endorsed will not be accepted.

6

TO BE COMPLETED BY THE NOMINATING GOVERNMENT 9.

OFFICIAL DECLARATION BY THE NOMINATING AGENCY

On behalf of the Government of , I Country Name of Official

Certify that :

a) I have examined the educational, professional or other certificates quoted by the applicant in this form and I am satisfied that they are authentic and relate to the applicant;

b) The applicant is medically fit and free from infectious disease and that, having regard to his/her physical and mental history; and

c) The applicant has attained a level of proficiency in both spoken and written English to enable him/her to follow the course of study/training for which he/she is being nominated.

I nominate ( Dr/Mr/Mrs/Ms* ) holding Passport No.: for

the training course.

Name and Designation

Signature and Official Stamp

Name and Organisation

- - Country code Area code Office tel no.

Email address

- - Country code Area code Office tel no.

ENDORSEMENT BY THE NATIONAL FOCAL POINT INCHARGE OF TECHNICAL COOPERATION

Name

Email Address

(Official Stamp)

Designation

Signature

Name of Organisation

- - Country code Area code Office tel no.

- - Country code Area code Office tel no.