MEMBERSHIP CARD

INTERNATONAL ALLIANCE OF INHABITANTS

Fill, sign, stamp, attach the requested document and send to:

International Alliance of Inhabitants

c/o Unione Inquilini, 2/ter, Bettella street. 35133 Padua. Italy

tel. ++39 049691771 faxes ++39 02700415592

e-mail: info@habitants.org - www.habitantes.org/IAI

The undersigned (surname and name)

· Male

· Female

Being the representative in front of the IAI (specify the title)

Of the association (specify the name)

Mother tongue (specify)

Other known languages (specify in order of knowledge)

Full address of the association

Postal code

City

Country

Telephone

Cellular

Fax

E-mail

Website

Structure

Founded on (day, month, year)

Managing body (specify the type)

Names and full addresses of the executives

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· Voluntary n.

· Employed n.

Type of association

Association of inhabitants:

· Tenant Union

· Network

· Housing cooperative

· Social Centre

· Territory based organization

· Activists’ Committee

· Other (specify)

NGO of technical support:

· Research Centre

· Professional

· Academic

· Other (specify)

Area of intervention:

· Rural

· Urban

Level of intervention

· Local

· National

· Regional

· International

Beneficiaries of the intervention

· n. families (specify).

· n. individuals (specify)

· Urban population

· Rural population

· Elderly

· Children

· Slum dwellers

· Women

· Young people

· Tenants

· Migrants

· Minorities

· Nomads

· Afro populations

· Dalit populations

· Native populations

· Handicapped

· House owners

· Refugees

· Homeless

· Evicted

· Neighbourhoods

· Other (specify)

Services offered by the association

· Architecture

· Welfare

· Lodges construction

· Populations’ native culture

· Environment defence

· Human rights and DESC

· Education and formation

· Gender and women's rights

· Alternative Finance

· Lodges management

· Lobbying

· Media

· Social mobilization

· Monitoring

· Community Organization

· Social Organizations and politics

· Citizens’ participation

· Planning

· Program of experience exchange

· Research

· International solidarity

· Rural development

· Urban development

· Advocacy

· Other (to specify)

How mobilization is organized

· Houses occupation

· Land occupation

· Stopping evictions

· Territorial blocks of protest

· Boycotting

· Campaigns at city level

· Petitions

· Other (specify)

Relationship with other associations (specify name, field of action and address)

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I declare

· That the given information is true

· To know and approve the Founders’ Principles of the International Alliance of Inhabitants (IAI)

· To personally and collectively accept to support in solidarity the construction and the program of the IAI at all levels.

· To insert the wording « IAI members » in the membership card and in the public documents of his own association

Particularly to collaborate with the IAI:

· To participate with full right as IAI member

· To translate texts (specify the couples of languages) …

· To sustain programs of exchange

· To compile common projects

· To financially contribute

· Other (to specify)…

Attach:

· Statute up-to-date or other equivalent document

· Last report of activity

· Representative’s CV in front of the IAI

· Other documentation illustrating the most recent activity

Signature and stamp of the association

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Date….