Ashadip PSC

MEMBER NAME 6

DATE OF BIRTH
(dd/mm/yyyy)

GENDER

Male Female Trans Gender

DESIGNATION

PAN NO

AADHAAR NO

MOBILE NO

E-MAIL ID

WORKING FROM

MEMBER 6 AADHAAR CARD + PAN CARD

MEMBER NAME 7

DATE OF BIRTH
(dd/mm/yyyy)

GENDER

Male Female Trans Gender

DESIGNATION

PAN NO

AADHAAR NO

MOBILE NO

E-MAIL ID

WORKING FROM
(dd/mm/yyyy)

MEMBER 7 AADHAAR CARD + PAN CARD

MEMBER NAME 1 *

DATE OF BIRTH *
(dd/mm/yyyy)

GENDER *

Male Female Trans Gender

DESIGNATION *

PAN NO *

AADHAAR NO *

MOBILE NO *

E-MAIL ID *

WORKING FROM *
(dd/mm/yyyy)

MEMBER 1 AADHAAR CARD + PAN CARD

MEMBER NAME 2 *

DATE OF BIRTH *
(dd/mm/yyyy)

GENDER *

Male Female Trans Gender

DESIGNATION *

PAN NO *

AADHAAR NO *

MOBILE NO *

E-MAIL ID *

WORKING FROM *
(dd/mm/yyyy)

MEMBER 2 AADHAAR CARD + PAN CARD

MEMBER NAME 3 *

DATE OF BIRTH *
(dd/mm/yyyy)

GENDER *

Male Female Trans Gender

DESIGNATION *

PAN NO *

AADHAAR NO *

MOBILE NO *

E-MAIL ID *

WORKING FROM *
(dd/mm/yyyy)

MEMBER 3 AADHAAR CARD + PAN CARD

MEMBER NAME 4

DATE OF BIRTH
(dd/mm/yyyy)

GENDER

Male Female Trans Gender

DESIGNATION

PAN NO

AADHAAR NO

MOBILE NO

E-MAIL ID

WORKING FROM
(dd/mm/yyyy)

MEMBER 4 AADHAAR CARD + PAN CARD

MEMBER NAME 5

DATE OF BIRTH
(dd/mm/yyyy)

GENDER

Male Female Trans Gender

DESIGNATION

PAN NO

AADHAAR NO

MOBILE NO

E-MAIL ID

WORKING FROM
(dd/mm/yyyy)

MEMBER 5 AADHAAR CARD + PAN CARD

Name *
Address *
Email *
Phone No *

ORGANIZATION NAME *
ORGANIZATION PAN NO *
REGISTRATION NO *
REGISTRATION DATE * (dd/mm/yyyy)
REGISTRATION VALID UP TO (dd/mm/yyyy)
REGISTERED ACT NAME *
TYPE *
FCRA REGISTRATION NO
OFFICIAL WEBSITE
MOBILE NO *
E-MAIL ID *
ORGANIZATION ADDRESS (Please Mention At./Vill+P.O+P.S+Dist.+State+Pin No )
ANY SECONDARY REGISTRATION ?	Yes No
IF YES, GIVE DETAILS

ORGANIZATION / VO REGISTRATION CERTIFICATE *
ORGANIZATION / VO PAN CARD *
APPLICANT IDENTITY PROOF *
OTHER DOCUMENT

CENTRAL AND STATE GOVT VARIOUS MINISTRY/DEPARTMENT EMPANELMENT AND REGISTRATION

Form - NGO Darpan/NITI Aayog Registration

Total Expenses : Rs 1180/-

:: Contact Person Details ::

ORGANIZATION / VO DETAILS

MEMBERS DETAILS

if more then 7 , please download this excel file and fill up and upload as other document.

Executive Committee Member Details.xlsx

ANY SOURCE OF FUND

WORKING AREA

WORKING ACTIVITY

DOCUMENTS

(scan all original documents in 300dpi color , Jpg / PDF format)

Our Team

Gopal Bera

Chhanda Barik

ANINDITA ROY

Jharna Mallick

Mousumi Pal

DEBIKA SUBBA

Nisha Sarki

PRIYA BISWAKARMA

ARPITA CHAKRABORTY BANERJEE

Contact Info

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Feel free to write your query

ASHADIP PSC