NGOs Registration Form

1.	NAME OF THE ORGANIZATION	……………………………………………………….
2	PREVIOUS REGISTRATION NUMBER (if any..)	……………………………………………………….
3	NAME OF PREVIOUS REGISTRAR   (if any..)	……………………………………………………….
4	CURRENT ADDRESS OF THE ORGANIZATION	Region               …………………………… District               …………………………… Ward                 ……………………………. Village/Street     …………………………… P O Box             ……………………………. e-mail               ……………………………. Website            ……………………………. Phone/Tel Number   ……………………….. House No(option)…………………………. Nearby  ………………………………………... eg.  Sukari House Building
5	LEVEL OF REGISTRATION	1. District……….. 2.  Regional...……. 3.  National…….. 4.  International… Tick appropriate box
6	THEMATIC AREA OF OPERATION	Education, Health (other mention..)
7	VISION STATEMENT	………………………………………………………………………
8	MISSION STATEMENT
9	OBJECTIVES	1……………………………………………………………………………... 2………………………………………………………………………………. 3………………………………………………………………………………. 4……………………………………………………………………………….
10	TYPES OF MEMBERS	1.   Founder Members           2.   Ordinary Members 3.   Honorary                        1
11	DECISION MAKING ORGAN	1.   Quorum …………………………………………………………………………
		2.   Powers and functions of Decision Making Organ a)   …………………………………………………………… b)   ………………………………………………………………
12	DISSOLUTION	1.   The    Organization    may    be    dissolved    by resolution   passed   by   the   Decision   making organ.
13	Submitted by ……………………(Office Bearer/     Director………………………. this Day of…………………20……….. Signature…………………………………………

ATTACHMENTS

1.   SOFT AND HARD COPY OF PREVIOUS REGISTRATION CERTIFICATE

2.   SOFT AND HARD COPY OF TRUST DEED, MEMART OR CONSTITUTION

3.  SOFT AND HARD COPY CV OF LEADERS, EACH CV WITH 2 PASSPORT SIZE   PICTURES

                                        

LIST OF MEMBERS/LEADERS

S/N	FULL NAME	NATIONAL ID/LICENSE/VOTE ID/PASSPORT NUMBER	NATIONALITY	SEX	POSITION	TYPE OF MEMBER	PHONE NUMBER	DATE OF BIRTH
1
2
3
4
5
6
7
8
9
10
11
12
13
14