Unhabitat.org
PARTNER DECLARATION FORM
|The purpose of this declaration is to determine whether the prospective Implementing Partner is committed to UN-Habitat’s core values and its |
|commitment to persons of concern. |
|Name of the Organization | |
| | |
|Has [insert acronym of partner] been sanctioned by the UN Security Council Committee on Sanctions pursuant to | |
|resolutions 751 (1992), 1267 (1999), 1907 (2009) 1989 (2011) or any other subsequent resolutions? |☐ Yes ☐ No |
| | |
|Has [insert acronym of partner] supported or supports, directly or indirectly, individuals and entities |☐ Yes ☐ No |
|associated with those sanctioned by the UN Security Council Committee on Sanctions or any person involved in any| |
|other manner that is prohibited by a resolution of the United Nations Security Council adopted under Chapter VII| |
|of the Charter of the United Nations. UN Sanction List? | |
| | |
|Has [insert acronym of partner] or any of its employees been charged with or been complicit in criminal |☐ Yes ☐ No |
|activities, including fraud, money laundering, crimes against humanity and war crimes, and is involved or has | |
|been involved in the past, with such activities that would render the organization unsuitable for dealing with | |
|UN-Habitat ? | |
| | |
|Does [insert acronym of partner] commit that it will not discriminate against any person, regardless of their |☐ Yes ☐ No |
|race, religion, nationality, political opinion, gender orientation or social group? | |
| | |
|Does [insert acronym of partner] confirm that it is willing to comply with all clauses of the UN-Habitat’s |☐ Yes ☐ No |
|Agreement of Cooperation when implementing UN-Habitat‐funded Projects. | |
|Does [insert acronym of partner] confirm that it adheres to equal and fair treatment of all employees, including| |
|the following policies: | |
|Prohibiting all forms of exploitation, harassment and/or abuse, including sexual harassment in the workplace; |☐ Yes ☐ No |
|Equal pay for women and men; | |
|Fair maternity/paternity (where applicable) leave policy; | |
|Allow and actively promote female applicants for all positions, particularly in leadership. | |
I declare, as an official representative of [insert acronym of partner], that the information provided in this declaration is complete and accurate, and I understand that it is subject to UN-Habitat verification.
Signature: _______________________________________
Name/title of the duly authorized
[insert acronym of partner] representative: _______________________________________
Date: _______________________________________
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