WHO | World Health Organization

PMNCH Sign Up

Thank you for creating an account. Your information will not appear in the Partner Zone until validated. We will be in contact with you if we have any questions.

Applicant's Login Information

Email*

Password*

Confirm Password*

Contact Information

Title

Alternate email or administrative assistant email, if applicable

First Name*

Phone

* Do not include hyphens or spaces. Example: +14165550134

Last Name*

City

Applicant is the Organization’s Primary Contact

* Your organization’s Primary Contact is the person who will be contacted for governance issues, updating of information, notification about events, etc.
* Please note that for members of the Adolescents and Youth Constituency focal points must be within 10-30 years old. In case you apply for the Adolescents and Youth Constituency, the PMNCH Secretariat will be following up by email to verify this information.

Applicant’s contact information can be shared with other PMNCH members

Country

Organization Details

Name of Organization (Please type the full official name)*

Organization's Email (to be shared publicly on PMNCH website)

Acronym of Organization (if applicable)

Type of Organization / PMNCH Constituency * Please read the constituency membership criteria before filling in this answer.

City

Country

Health Focus / Area of Interest

Maternal, Newborn, and Child Health

Sexual and Reproductive Health & Rights

Adolescent Health

Logo of Organization

Organization's official social media handles

Organization's Website (URL)

Twitter

Facebook

DECLARATION. I hereby declare that the disclosed information is true and complete. Should there be any change to the above information, I will promptly notify the PMNCH Secretariat of relevant changes.

RESPONSIBILITIES

Partnership agreement (check each box)

I have read and agree with the mission and vision of PMNCH, the operational principles of PMNCH, and the principles of engagement with PMNCH.

As a duly authorized representative of my organization, I declare it to be in full agreement with the goals and values of PMNCH.

I understand and agree with the criteria and responsibilities of members, as defined herein.

Please confirm all declaration and agreements.