Form cover
Page 1 of 2

Register your details – UN Partnering for a Decade of Healthy Ageing

Name

Email address

Organization / affiliation

Role / position

Country

I can best describe my sector as:

I can best describe my sector as:

Which Decade action areas are your primary interests or areas of work?

Which Decade action areas are your primary interests or areas of work?

Please provide a short description / bio of yourself, focusing on your work or interests in fostering healthy ageing.

Do you have any other specific interests or areas of work?

Please separate each word or phrase with a comma (e.g. 'ageism, long-term care').

Please upload a high-resolution photo of yourself.

Accepted formats: JPG, PNG; up to 3 MB maximum file size.

Please provide a weblink where your full profile or your organisation / programme's details can be accessed: