Delegation Registration from Email Address *Name *Contact Number (with country code) *Gender *GenderMaleFemaleNon-binaryOtherDivision *DivisionBarisalChittagongDhakaKhulnaMymensinghRajshahiRangpurSylhetDistrict *DistrictDhakaFaridpurGazipurGopalganjJamalpurKishoreganjMadaripurManikganjMunshiganjMymensinghNarayanganjNarsingdiNetrokonaRajbariShariatpurSherpurTangailBograJoypurhatNaogaonNatoreNawabganjPabnaRajshahiSirajgonjDinajpurGaibandhaKurigramLalmonirhatNilphamariPanchagarhRangpurThakurgaonBargunaBarisalBholaJhalokatiPatuakhaliPirojpurBandarbanBrahmanbariaChandpurChittagongComillaCox''s BazarFeniKhagrachariLakshmipurNoakhaliRangamatiHabiganjMaulvibazarSunamganjSylhetBagerhatChuadangaJessoreJhenaidahKhulnaKushtiaMaguraMeherpurNarailSatkhiraOccupation *Level of education (current or most recently finished) *Level of education (current or most recently finished)S.S.CH.S.CUndergraduateGraduatePostgraduateOther:Institution / Organization Name *Provide your social media account url *Upload a headshot photo of yourself (Rename the photo with "Your Name") *Drag and Drop (or) Choose FilesPicture should be in square size (1x1), It is not necessary to upload formal photo, Selfie is strictly prohibitedDo you have any work experience in climate action? *Do you have any work experience in climate action?YESNOProvide a brief description about your climate related activities (If no, write N/A) *What is your motivation to join the LCOY Bangladesh 2022? *How do you think LCOY Bangladesh 2022 can help your further activities? *Have you joined any pre-events of LCOY Bangladesh 2022? *Have you joined any pre-events of LCOY Bangladesh 2022?YESNOIf yes, please mention the event's name and date (If no, write N/A) *Is there anything you want to share with LCOY Bangladesh 2022 Action Team? *By clicking this box, you agree to apply to become a delegate for the LCOY Bangladesh 2022. *By clicking this box, you agree to apply to become a delegate for the LCOY Bangladesh 2022.I AGREESign the following petition (https://lcoybangladesh.org/sign-the-petition) to make the world know that you demand climate justice. *Sign the following petition (https://lcoybangladesh.org/sign-the-petition) to make the world know that you demand climate justice.Yes, I have signed the petitionSUBMIT
