Registration for Community Organization/ Individual Registration
Name of the Organization *
Nature of Organization *
Type of Organization *
Contact details of the Organization

Phone Number *
Email ID *
Fax (if any)
Website (if any)
Established (Year) *
Region/Area of function

State *
Area (i.e. Borough, City, Town, District etc.) *
Total Membership (in numbers) *
Brief description about organization’s activities (Max 250 words) *

Please add Office bearers/Board members contact details (enter in descending order)*

Upload Logo of organization (Optional) *
Major Function/Events organised by your organization (maximum upto 5 events)

Name of the Event *
Type of the Month *
Month of Celebration *
No. of Tentative Participants for the
Event *