GSMGuidelines

Page 16

VIII. Forms Form 8.1 FORMAT FOR PRESENTING THE PROPSAL ON GSM-BSM A.

Organization Profile

1. Name of the Organisation

:

2. Address

:

1.1) Village

:

1.2) Post Office

:

1.3) Taluka

:

1.4) Police Station

:

1.5) District

:

1.6) State

:

1.7) Pin Code

:

1.8) Telephone No.

:

1.9) Fax No.

:

1.10) E-mail

:

3. In how many villages does the VO operate?

:

4. Objectives of the VO

:

5. Details of Registration 5.1) Registration No.

:

5.2) Date of registration

:

5.3) Valid Upto

:

5.4) If registered under FCRA indicate the No

:

(Attested photocopy of the Registration Certificate to be enclosed) 16


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