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1. Organisation Details

Tell us about your organisation and it's aims: Select the Cause that most closely represents the work of your organisation: Select the Pilar that most closely represents the activities of your organisation: Groups Structure: If Other please describe: The Geographical area you operate in: Electoral Area of your main base: Number of people involved in your organisation: Year Established: Facebook Page:
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2. Main Address For Correspondence

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3. Main Contact Details

Are you the Main Contact for this Organisation?


Will you be the representative or the alternative for your organisation in relation to the PPN?:
Continue to Step 4

4. Alternative Details

Alternate First Name: Alternate Surname: Alternate Mobile: Alternate Email:

Linkage Online

Linkage online
The PPN Rep on that Committee will receive your comments prior to the next meeting.
To view reports from your PPN Rep for this committee click here:
The information you have provided will be consolidated into a report for the PPN Rep on this committee. To agree, please click here: *