PRINT PAGE
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: _______________________________________________________


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) _______________________________________
 

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)

 
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.