Prague Declaration

NOTE: Only your name, country, and affiliate organization (if relevant) will be publicly listed on the Prague Declaration. All contact information provided is for the express purpose of signatory identification and communication, and will not be shared with third parties.



first name *
 
last name *
 
email *
 
country *
 
city / municipality *
 
affiliation/organization / city (if relevant) *
 
Yes, I am authorized to sign on behalf of the affiliate organization listed above so that it can be listed as endorsing the declaration.  Yes
 
title/role and degrees (if relevant)  MA (Mgr.)
 MSc (CSc.)
 MPH
 LLB
 JD (JUDr.)
 PhD
 DSci (DrSc.)
 MD (MUDr.)
 
other not listed