MEMBERSHIP APPLICATION FORM FOR

ORGANIZATIONS
In accordance to ANFREL Resolution # 3-2017

_______________________________________________________

ORGANIZATION DETAILS

Name of Organization:
[Address]
[Telephone]
[Email]
[Website/social media account]

Name of designated representative:

[Position in the organization]
[Address]
[Telephone]
[Mobile Phone]
[Email]

ORGANIZATION BACKGROUND

Registration
Category GO [Government Organization]
INGO [International Non-Government Organization]
NGO [Non-Government Organization]
GO [Government Organization]
CBO [Community Based Organization

Legal Status Yes No

Organization/Institution Application form v.2017

 [if yes please include the registration details, but if the answer is no please explain what the reason]

Governance Structure 1. Please briefly describe the top-down structure of the organization.
2. Please attach the organization structure chart during submission.

Organization establishment, history, vision, mission, and objectives]:

(Max 750 words):

List the five (5) most current activities/projects the organization engaged with:

1.

2.

3.

4.

5.

What are your expectations in joining ANFREL?

(Max 500 words)

Page 2 Application form for Organization v.3.2017

(Max 500 words):

Signature of the highest position in the organization Date

Page 3 Application form for Organization v.3.2017