Vishwa Yuvak Kenda
Circular Road, Chanakyapuri New Delhi – 110 021
Ph: 011-23013631-35. Email: vyk@vykonline.org |
Membership Registration Form |
Name of the organization : ________________________________________________ |
Establishment in (Year) _____________ Registration in (Year) _____________
Whether FCRA Reg.(Yes/No) _________ |
Contact Person : ________________________ Designation : _______________________ |
Address: _______________________________________________________ |
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PIN Code ______________ Ph: (Off) ________________ Mobile: __________________ |
Fax :____________________________ Email: __________________________________ |
Number of Staff ____________ Annual Budget __________________________________ |
Source of Fund _________________ |
Area of Operation (e.g; Village/Block/District/State/National)_______________________ |
Aims and Objectives of the Organisation _______________________________________
________________________________________________________________________ |
Target Group (e.g; Children/Women/Youth, etc) _________________________________ |
Thrust Area (Activities) ____________________________________________________ |
No. of Project undertaken (Give details) _______________________________________ |
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Please send the following:
1. A copy of Annual Report/Registration Certificate, etc.
2. Memorandum of Association.
3. Audited Statement of Accounts
4. DD/MO for Membership Fee
(Please use Separate Sheet for above information) |
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| Yes, we wish to be enrolled as an Institutional Member of Vishwa Yuvak Kendra! |
| Enclosed please find Cash/Money Order/Demand Draft No.___________________ |
| Dated _________ payable to Vishwa Yuvak Kendra New Delhi for Rs.1000.00 (Rupees One Thousand only) towards annual membership charges of Vishwa Yuvak Kendra and enroll us as an Institutional Member for the year _________________ |
Date: ______________ |
Signature :__________________ |
Filled-in application form along with DD/MO can be sent to the Director, Vishwa Yuvak Kendra at the above address. |
