Beruflich Dokumente
Kultur Dokumente
1.
2.
____________
_________
City District
3.
5.
Aims & objectives of NGO ____________________________________________ (Attach a copy of the Registration Certificate/Constitution)
7. List of NGOs Executive Body / Office Bearers / Governing Body / Board of Directors / Trustees (Indicate EB, OB or BOD as the case may be).
S. No.
Name of Person
Profession / Occupatio n
Designation in NGO
Since (Month/Year)
Note: Separate paper may please be added, if required, while answering/providing information against each question. 8. Present Institutional Capacity: Paid (i) (ii) (iii) (iv) (v) No. of Technical Staff No. of Professional Staff No. of Total Staff No. of Management/Support Staff Any other (specify) Volunteer ____________________ ____________________ ____________________ ____________________ ____________________
9. S. No.
Ongoing and Previous Projects Supported by Donors/Agency:Focus of Projec t Donor / Agency Name Amoun t Year of Fundin g Number of Beneficiari es Presen t Status of Project Are the funds audited? Yes/No
(Attach a copy of most recent Audit Report) 10. Present Assets of the NGO:-
S. No.
Assets
1 2 3 4 5
6 7
Building Rented/Owned Land Movable Property Furniture Equipments/Computer s (Specify kinds & quantity) Vehicles (Specify type and quantity) Any other (specify) (Attach a copy of updated
inventory list)
11.
Achievements made by the NGO (please attach a detailed report of short term and long term activities of the NGO for the last 3 years or less)
12.
13.
_________________________________________________________________ Address:__________________________________________________________
Phone/Fax No.: (______)____________________________________________ City Code Email:______________________________ 14. Income & Expenditure during last financial year: Income lakhs Rs._________ lakhs Expenditure Rs. _________
15. DECLARATION
i. ii. iii.
The information provided herein above is true and correct to the best of my/our knowledge and belief. We undertake that we shall abide by the Rules and Regulations of ngofundraisers.com Our organization is not black-listed by Government or any other organization.
We attach the following:i) ii) iii) iv) v) Self Certified copy of the Registration/Renewal Certificate. Self Certified List of present Office Bearers Curriculum Vitae of the Contact Person and the Passport size photograph. Certified copy of the audited accounts of the last 3 years. Cheque / DD No. __________ for Rs. ________ drawn in _________________Bank in favour of NPO Financial Services P Ltd towards ___________________ Project
Place: Date:
V. Sridhar NPO Financial Services P Ltd 766, 47th Cross, 8th Block Jayanagar BANGALORE 560082 Email : gvs@ngofundraisers.com Website : www.ngofundraisers.com Ph : 080-40966191 Mob : 0-8553015850