Water Committee Gender Registration Form

Water Committee Gender Registration

Please use this form to complete water committee gender registration for a community in Vanuatu

General Information
Registered Water System
Date of Submission
Date Format: YYYY dash MM dash DD
Community Name
By registering as a water committee, this will allow you to request assistance from the government in improving your water supply. This requires creating a Drinking Water Safety and Security Plan (DWSSP) for your community. Would you like to request some assistance in creating a DWSSP for your community supply? (Please answer YES if you would like some assistance)
- Yes
- No
Document 1 Upload
Accepted file types: pdf.
Document 2 Upload
Accepted file types: pdf.
Document 3 Upload
Accepted file types: pdf.
If you have answered YES above, please write the name of the committee member below who we should contact to organise this assistance
Please click the check box to indicate you have permission to share personal details of committee members. If you need more information on this please contact the department of water.*
- I have checked and agree
Representation on committee
Please list below the amount of men and women that are on your water committee IMPORTANT!!! To receive support from government women must make up at least 40% of the water committee.
Number of men to be registered*
Number of women to be registered*
Committee Member 1
Gender
Role
Skills
Contact Details
Committee Member 2
Gender
Role
Skills
Committee Member 3
Gender
Role
Skills
Committee Member 4
Gender
Role
Skills
Committee Member 5
Gender
Role
Skills
Committee Member 6
Gender
Role
Skills
Committee Member 7
Gender
Role
Skills
Committee Member 8
Gender
Role
Skills

Water Committee Gender Registration

General Information

Representation on committee

Committee Member 1

Committee Member 2

Committee Member 3

Committee Member 4

Committee Member 5

Committee Member 6

Committee Member 7

Committee Member 8

DoWR NIP-CAP Information System

Vanuatu

Contact

Tutorials