Registration Form - PART-5

SCHEDULE-I | PART-5: PERSONNEL & FINANCIAL DETAILS

PART-5: PERSONNEL/STAFF DETAILS

SCHEDULE-I

12. Details of Personnel/Staff/Employees:

Total: *

12.1 Local *

12.2 Foreigner *

12.3 Male *

12.4 Female *

13. Physical Infrastructure/Assets:

13.1 Office: 13.1.1 Status (Owned/Rented/Donated/provided by Govt/ANY other) *

Owned Rented Donated Provided by Govt Any other

13.1.2 Detail of physical assets details of IT, Furniture, Transport etc: *

PART-5: FINANCIAL DETAILS

Organization Budget

14. Financial details of the Organization:

14.1 Title/Official name of Account *

14.2 Bank Account No: *

14.3 Name of the Bank: *

14.4 Yearly Estimated budget: *

14.4.1 Total Source Funded: *

14.4.2 Total Foreign Funding (if any) in USD:

14.5 Whether the Organization has been audited? (Yes/No) *

Yes No

14.6 If yes, name of the Audit Firm:

14.7 Source of Funding: *

PART-5: LEGAL PROCEEDINGS

Compliance Check

15. Whether the Organization or any of its Management/Board Member or Focal person has been involved in any civil/criminal/anti state activities? (Yes/No) *

Yes No

15.1 If Yes, provide detail:

16. Any other information:

Place:

Date:

Official Seal & Signature Required

(After Physical Print)

No file selected

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Step 5 of 11: Personnel & Financial Details