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1.

CATEGORY OF APPLICANT ORGANISATION: REGISTERED TRUST/


SOCIETY REGISTERED UNDER SOCIETY REGISTRATION ACT 1860
2. SELECT VARIOUS ACTIVITIES FROM THE BELOW LIST CURRENTLY
UNDERTAKEN BY THE APPLICANT ORGANIZATION
VOCATIONAL TRAINING/EDUCATION/TRAINING & PLACEMENT

3. NAME OF THE APPLICANT ORGANISATION: (FULL NAME AS


REGISTERED IN PAN)__________________________________________
4. ADDRESS AND CONTACT DETAILS OF THE ORGANIZATION
- FULL ADDRESS WITH PIN_____________________
- STATE_______________________
- DISTRICT________________________
- BLOCK________________________
- OFFICE PHONE NO_________________
- OFFICE FAX NO_______________________
- EMAIL________________________[FURTHER COMMUNICATION WILL BE
MADE THROUGH THIS MAIL]

- WEBSITE__________________________
5. REGISTRATION DETAILS OF ORGANISATION:
REGISTRATION NO._____________________
STATE WHERE REGISTERED___________
DATE OF REGISTRATION___________
PAN________________
TAN____________________
6. APPLICANT ORGANISATION MEMBER DETAILS
DETAILS OF OWNER/DIRECTORS OR MEMBERS
(ALL MEMBERS AS MENTION IN TRUST OR SOCIETY DEED)

NAM DESIGNATIO MO EMAI PA AADHA VOTA PASSPORT/D


E N B L N R R NO L NO

7. AUTHORISED PERSON DETAILS


NAME_____________________
RESIDENTIAL ADDRESS WITH PIN____________________
DESIGNATION______________
MOB________________
PAN________________
PASSPORT/DL NO________________
STATE______________
POST OFFICE__________________
SON OF/DAUGHTER OF__________________
AGE______________
OCCUPATION_____________
EMAIL____________
AADHAR________________
VOTAR_______________________
POLICE STATION
8. ADDITIONAL DETAILS
DATE OF REGISTRATION UNDER 12A INCOME TAX ACT OF 1956_________
DATE OF REGISTRATION UNDER 80G OF INCOME TAX ACT OF 1956________
DATE OF REGISTRATION UNDER FCRA____________
NITI AYOG NO:______________________

DOCUMENT REQUIRED (SOFT COPY)


1. NITI AAYOG REGISTRATION PORTAL SCREENSHOT
2. PASSPORT PHOTO OF AUTHORISED PERSON
3. CV OF AUTHORISED PERSON
4. REGISTRATION DEED SOFT COPY
5. PAN OF ORGANIATION SOFT COPY COLOUR [PHOTO GUIDELINE
ATTACHED]
6. TAN OF ORGAISATION SOFT COPY
7. HEAD OFFICE PHOTOGRAPH CONTAINING THE TRUST /SOCIETY
BANNER INFRONT OF HEAD OFFICE BUILDING [PHOTO GUIDELINE
ATTACHED]

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