Annex 2

EQUIPMENT TRANSFER PROGRAMME

Equipment Transfer Request Form

  1. This form is to be used to register a request for equipment in the International Cooperation Branch database. Before completing the form, please read the guidelines presented in the accompanying Note by the Secretariat to confirm your eligibility for financial support under the programme.
  2. The completed form should be sent to the International Cooperation Branch, International Cooperation and Assistance Division, OPCW, Johan de Wittlaan 32, NL-2517 JR The Hague, the Netherlands.
Name of organisation  
Type of organisation o Public funding o Private funding o Both
Contact person, position held  
Address  
Country  
Phone numbers (please specify country code and area code )  
Fax numbers (please specify country code and area code)  
E-mail address  
Type of equipment requested

(Please specify)

  
 

For what purpose is the equipment to be used?

  
Is any special training needed for the proper use of the equipment? If so, how is it to be arranged? o Yes o No If "yes", please give details
Potential donors?