• Please fill the Application form for ADRRN membership
  • Field marked as “*” are mandatory.
  • Please mail the Supporting documents after submitting the Application form
Name of the NGO*
Translation of the name into English (If Applicable):
Date founded*:
Name (Head of Organization)*
Designation*
E-mail*
Organization Website*
Contact Details*:
  
Mailing address:
 
Telephone:
 
Country code
City Code
Number
  
Facsimile:
 
Country code
City Code
Number
  
       
Primary Contact Person:
      
Name:
 
Email:
 
       
Organisational objectives*:
Countries in which your organisation is working and a brief description of your activities there:
DRR and CCA experience & Geographical Areas Covered (summary or point form please):*
Brief description of future plans and activities:
Annual Revenue (including all resources directly handled by your NGO):
Annual Budget:
Other institutions, groups, or consortia to which your organisation is member:
Your reasons and expectations for joining ADRRN and possible contributions to its activities*:
ADRRN member organisation that could provide a reference: (Include name of referee)*
After consideration of the Statues and membership requirement of ADRRN and being in agreement with the aims and the responsibilities incurred by membership, the non-governmental organisation whose particulars and description appear in this application form hereby requests admission to membership in ADRRN under the following category:
 
Core Member NGO
Associate Member
       
( Applies to UN Agencies, Academic institutions, Non-NGOs )

Name of Officer Submitting Application:

Designation:

Place:
Date
17-05-2012
 
   
 
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