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1. Please fill out this form and return it to the address at the bottom of this page so that we can include a
complete record of information about your organisation in our database.
FACT SHEET FOR NGOs ENGAGED IN ACTIVITIES RELATED TO CRIME
PREVENTION, CRIMINAL JUSTICE AND DRUG CONTROL.
Please print or type
1. Name of the Organisation:___________________________________________
2. Does your Organisation work mainly with
 Crime related issues Drug related issues
Recognised by the Government Yes No
Registration N. ______________________________________________________
ECOSOC Status1 General Special Roster None
3. Address:__________________________________________________________
Tel:________________________________________________________________
Fax:________________________________________________________________
e-mail:______________________________________________________________
4.Website:__________________________________________________________
5. Contact Persons:
Name ________________ Title:  Head  Advocacy Officer Press Officer Webmaster
 NGO representative to UN office in Vienna NGO focal person
e-mail:____________________________
Name ________________ Title:  Head  Advocacy Officer Press Officer Webmaster
 NGO representative to UN office in Vienna NGO focal person
e-mail:____________________________
Name ________________ Title:  Head  Advocacy Officer Press Officer Webmaster
 NGO representative to UN office in Vienna NGO focal person
e-mail:____________________________
Name ________________ Title:  Head  Advocacy Officer Press Officer Webmaster
 NGO representative to UN office in Vienna NGO focal person
e-mail:____________________________
6. Working Languages of your Organization:
1
ECOSOC Status, for further information see Resolution 1996/31 at http://www.un.org/esa/coordination/ngo/
Fact-sheet for NGOs Page 1 of 5 Civil Society Team – May 2009

2. UN Official Languages:
 English  French Spanish
Chinese Russian Arabic
Other Languages:
__________________________________________________________________
7. Please mark the areas in Crime or Drug reduction in which your organisation is
involved:
 Prevention  Drug treatment Rehabilitation Education
Training Counselling Research  HIV/AIDS
Anti-corruption Victim Protection Antihuman Trafficking
Criminal Justice Legal assistance Sustainable Development
 Environmental Crime  Smuggling of migrants
 Arms Control
8. Please indicate below if your NGO is involved in other issues:
 Human Rights Rule of Law Health Migration
Governance Other ____________________________________________
9. Give a short description of your NGO’s mission and achievements.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________________________________
10. Target Groups:
 General public  Youth Parents Women
Vulnerable groups Sex workers  Migrants Street Children
Fact-sheet for NGOs Page 2 of 5 Civil Society Team – May 2009

3.  Drug users  Medical services  Social workers  Educators
 Law enforcement agencies Policy makers Prisoners Victims
 Other____________________________________________________________
11. How does your organisation reach its target groups ?
Awareness-raising initiatives: school university streets mass media other
Training and/or seminars: school university streets mass media other
Conferences: school university streets mass media other
Peer to peer: school university streets mass media other
Internet: Newsletter Other
Other:
12. Give a brief description of your intervention methods:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_________________________________
13.Please list any materials that your organisation has produced and provide electronic
address if they were posted on the internet:
Publications:
Video:
Website:
Other:
14. Please complete the following if your organization has offices in other parts of the
world:
Other offices:
Fact-sheet for NGOs Page 3 of 5 Civil Society Team – May 2009

4. Office 1
Country : ________________________________
Website:_________________________________
E-mail: __________________________________
Office 2
Country : ________________________________
Website:_________________________________
E-mail: __________________________________
Office 3
Country : ________________________________
Website:_________________________________
E-mail: __________________________________
15. If your organization is affiliated to a larger network, please state:
Name of affiliated network:
Network 1: ______________________________
Contact Details: __________________________
16. List any government departments or other organisations with which your NGO is
cooperating:
Governmental:
Intergovernmental:
Non-governmental:
Other:
16. Please describe any activities in which you have cooperated with UNODC:
Projects:
Name of the Project Year
Fact-sheet for NGOs Page 4 of 5 Civil Society Team – May 2009

5. Grants:
Grant received Purpose of the grant Year
Awards:
Award received Purpose of the award Year
Major events:
Event Year
Commission on Narcotic Drugs (CND)
Commission on Crime Prevention and
Criminal Justice (CCPCJ)
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)
Other, please specify
Fact sheet completed by_____________________________Date________________
Fact-sheet for NGOs Page 5 of 5 Civil Society Team – May 2009