REGISTRATION FORM
fields are mandatory
PARTNER DETAILS
Partner Name*
Country* City/Location*
Address* Code*    
Area of work* Do you have a Website currently?

DUE DILIGENCE  
Proof of registration/accounts available*
 
Proof of NGO Registration (80G/12A)
[You can upload maximum two files]
[Document should be in doc, docx, pdf, jpg format]
[Flie size should be maximum 5Mb]
 
Statement of accounts for the past 1 year
[You can upload maximum two files]
[Document should be in doc, docx, pdf, jpg format]
[Flie size should be maximum 5Mb]

Notes(if any)  
SENIOR NGO LEADERSHIP DETAILS(includes Founder/Trustee/CXOs only)  
Name* Email Id*
Phone
Mobile*
SPOC DETAILS  
First Name* Last Name*
Designation Email Id*
Phone
Mobile*
REFERRAL DETAILS(OPTIONAL)  
First Name* Last Name*
Company Name* Email Id
Mobile
   
CO-ORDINATOR DETAILS  
Do you want to add Co-Ordinator?*
First Name* Last Name*
Designation
Email Id*
Phone
Mobile*
Country* City/Location*