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Menstrual Health & Hygiene Management Platform

(MHM Platform)

Represents a national platform of the actors working in the field of Menstrual Hygiene and Management (MHM), Water, Sanitation and Hygiene (WASH), Sexual and Reproductive Health and Rights (SRHR) and Gender to create an enabling environment to ensure SRHR rights including gender equality, influence relevant policy formulation, facilitate implementation, and create a knowledge base on menstrual health towards women empowerment in Bangladesh.

Membership Form

  1. Name of the Organization: ….
  2. Address: ….
  3. Type of the Organization (Govt./Non-profit/ Private/Others): ……

  1. Date of applying for the Membership (DD/MM/YY): ……
  2. Head of the Organization:

  1. Details of your Nominator as the Focal person for MHM Platform:

4.   Major ongoing Program (MHM/SRHR/WASH/Gender related) of the organization (please insert cell if you need):

Name of the program

Major Activities

Target group

5. Key learning products/materials (MH/SRHR/WASH/Gender related) organization produced (please insert cell if you need) Please provide the web link to the document or please send the soft copy:

Name of the Material

Type of material

Major content of the material

  1. Please briefly describe about the interest the organization to join this Platform:

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Signature of Head of the Organization

or individual – where applicable

(with date)

Recommended by (Member, MHM-Platform)

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Name:

Organisation:

For official use only:

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Signature of Secretary of MHM Platform

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Signature of Chair of MHM Platform

(Confirmation of Membership upon discussion                                                                                                                                    with SC Members with date)