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NYC Membership Registration

Information

Name of Organization/Association

Name of Organization

2.Name of Contact Person/Function/Title

Name of Contact Person/Function/Title

3. Address

Street

Tel

Mobile (Cell).

Postal

Fax

E-mail

4. Date of Establishment:

5. Principle, Aims and Objectives (a brief description of the essential and distinctive elements
of organization):.

6. Main Programs and Activities of Organization

7. Type of Organization: (Cultural, Political, Religious e.t.c).

Please field your input field

8. Membership requirements:

9. Sources of Funding:

10. Is your organization affiliated to any international organization or body? (give the name of
the organization or association):

11. Would you like to be included in the National Directory of organizations?
(yes/no).

Yes

12. Name and address of other organization/group/individuals that could be contacted:

(Please supply any relevant documentation e.g. constitution, action plan programs, copies of
ID's for executive member e.t.c.)

AFFILIATION FORM FOR REGIONAL YOUTH

1.Name of youth organisation:

3.Address:

Address:

Tel:

Fax:

E-Mail:

4. Head office's Physical Location:

5.The total number of members:

6.Names and addresses of 25 card-carrying members from constituency
(minimum majority in constituencies in the region) should be attached on
a separate addendum.

7. Affiliations to other organisations

NOTE: PLEASE ATTACH COPIESOF THE FOLLOWING:

1.Constitution

2.Last Annual Report

3.Audited Financial Report (Optional)

4.Registration Certificate From Ministry responsible for youth affairs

5.Bank Account Details

6. Names And Addressed Of 25 Card Carrying Members From majority

1.Constitution