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    Organization Name*

    Type of partner you’d like to sign up as*

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    Name (surname first)*


    Street 1*

    Street 2




    Yes, I would like to receive postal mail from the Alliance

    Organization Information

    Organization Type*
    GovernmentNon Governmental organizationPrivate sectorBilateral and multilateralCarbon project developmentAcademiaIndependent consultantOther organization type

    Fuels and technologies (you can tick more than one)*
    Alcohol FuelsBiogasBiomassCoalKeroseneLiquid Petroleum GasN/A (technology neutral)SolarOther

    Sectors of experience and expertise (you can tick more than one)*
    AgricultureBehavior ChangeFinancial/BankingForestryGenderCarbon FinanceEducationHealthInfrastructureRenewable EnergyEnergyEnvironmentRural DevelopmentSmall BusinessOther

    Please briefly explain the primary sectors that most closely represent your organization's experience and expertise*

    (Maximum 5 rows of text)

    Please provide one or two paragraphs describing your organization's mission, and its work and/or interest in clean cookstoves and fuels. Please include details on any initiatives underway to reduce exposure to indoor air pollution, and your respective goals and successes to date*

    Please provide details on any initiatives underway, including countries, characteristics of your target populations (urban/rural, socio-economic status) and the scale of the initiatives (community/state/national/international level) and the nature and scope of the intervention*

    (Maximum 5 rows of text)

    Social/Cultural barriers:
    Please comment on your experience and/or interest in social/cultural barriers to using traditional fuels and stoves*

    (Maximum 5 rows of text)

    Market development:
    Please briefly describe how your organization would like to participate in the partnership, including how your organization can contribute (e.g. experience, skills, etc.).

    (Maximum 5 rows of text)

    Please list any attachments you would like to include as part of your application here and email them to

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