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org ORANGANISATION (NGO) PARTNERS APPLICATION FORM

(Section-1)

1. Name of the Project: _______________________________________________________________

(If you are applying for funding support based on the discussions, we have had over telephone, then Incorporate the name of the project for which you need fund support. If you have not discussed with us, But still would like to apply and empanel your NGO with us so that you will get funding opportunities in Future, then leave the name of the project blank).

2. Reference Number: _______________________________________ (as per Grant Assistances Application)

3. Name of Organisation: __________________________________________________________________

4. Postal Address: ________________________________________________________________________ _____________________________________________________________________________________________ Panchayat/Village/ Taluk __________________________________City District__________________________ State ____________________________________________ Pin Code:____________________________ Year of establishment: ___________________ Registration No ___________________ Registration Date: ________________ Geographical Area of Operation/Activities: __________(Name of City/Village District etc)_____________

5. Aims & objectives of Organisation: Vision & Mission:____________________________________________________________________ ____________________________________________________________________________________ 6. List of NGOs Executive Body / Office Bearers / Governing Body / Board of Directors / Trustees (Indicate EB, OB or BOD as the case may be) Name of Person Profession /Occupation Designation in the Organisation: Since (Month/Year)

7. List of activities and source of its funding

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8. Present Institutional Capacity: Paid Volunteer (i) No. of Technical Staff __________ ___ ______ (ii) No. of Professional Staff __________ ___ ______ (iii) No. of Total Staff __________ ___ ______ (iv) No. of Management/Support Staff __________ ___ ______ (v) Any other (specify) ____________________ _____________ 9. Achievements made by the NGO (please attach a detailed report of short term and long term activities of the NGO for the last 3 years or less) 10. Present Assets of the NGO:1 Building Rented/Owned 2 Land 3 Movable Properties 4 Furniture 5 Equipments/Computers (Specify kinds & quantity) 6 Vehicles (Specify type and quantity) 7 Any other (specify) (Attach a copy of updated inventory list) 11. Name of Contact Person/Coordinator: ________________________________ Profile of the person: _______________________________________________________ _______________________________________________________________________________ Address: _________________________________________________________________ Phone/Fax No.: (______) _________________________________________________________ City Code Email: ______________________________ Website:__________________________________ 12. Income & Expenditure during last financial year: Income Rs._________ lakhs www.joyofgivingonline.com | NGO PARTNERSHIP APPLICATION 2

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Expenditure Rs. _________ lakhs Terms & Ethics

The Philosophy of our Organisation is built upon the idea of Joyofgiving with organisation who work with their passion toward development of society Review/comment on Core Committee work product Recognize the organisation member who will not attend the meetings, and you may not want to beleft out of this process. Thus, a Core Committee has been created to perform a variety of tasks to administer this grant. At certain points, the Core Committee will share and vet information that has been produced with the Lead /Parent Organisation. This information may be shared with a broader group of organisation, as well. There will be times when the Core Committee will be asked to make decisions Committee meetings can be open to the public; Lead/Parent Organisation can attend a Core Committee meeting whenever you wish. One monthly Meeting will be compulsory (and twice monthly at certain phases of the project) Create Scope of Work for Required Projects Serve on interview panel for selection of Organisation & Programs Review work product and deliverables of the Program Evaluate and select preferred alternative(s) Take the initiative and ethical responsibility to exercise good judgment and recognize when the Core Committee should consult Lead /Parent Organisation

13. DECLARATION We hereby confirm that i. The information provided herein above is true and correct to the best of my/our knowledge and belief. ii. We undertake that we shall abide by the Rules and Regulations given by Core Committee iii. Our organization is not black-listed by Government or any other organization. We attach the following:i) Self Certified copy of the Registration/Renewal Certificate. ii) Self Certified List of present Office Bearers iii) Curriculum Vitae of the Contact Person and the Passport size photograph. iv) Certified copy of the audited accounts of the last 3 years.(If Any)

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Place: Date: Signature ___________________ Name _____________________ (Seal of the Organization)

ORANGANISATION (NGO) PARTNERSHIP FORM (Section-2)

Reference Number: _______________________________________ Date Inducted: ____________________ Name of Organisation: _______________________________________________________________________ Panchayat/Village/ Taluk _________________________________City District__________________________ State ____________________________________________ Pin Code: ___________________________ (Tick one of the below) Lead Organisation ( ) Parent Organisation ( ) Chapter Follower Member ( ) I have read & understood the overview of the organisation Structure &Roles & Responsibilities of NGO Partners (Yes/ No) CODE OF ETHICS When evaluating organisation/committee, please apply the following code of ethics to the various situations. This is not meant to be a list of specific but can be applied in principles to almost any conflict or complaint. Upon Acceptance to Joy of Giving Global Foundation, I agree to abide by the following code of ethics during the service of my Participation in the organisation. I will provide the Quality Services I will be truthful with Chapter Member I will Build Goodwill & Trust among Chapter Member I will take responsibility to fulfill the given Task. I will live up to the ethical standards of my Profession & given Responsibilities.

I ___________________________________Agree to the terms & Conditions as part of my member in this Chapter of ________________________ (State) and we __________________________________ have understood our Roles & responsibilities as a dedication of my own profitability to others.

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www.Bluebirdwelfare. org
Place: Date: Signature ___________________ Name _____________________ (Seal of the Organization)

Kindly send this form directly by Past/ Courier for Below Address: Mr.Punith Kumar BlueBird Welfare Organisation #38,1st main,K.P.A Block,Chandra Layout.Vijayanagar,BANGALORE 560040 Email : punith@bluebirdwelfare.org Ph : 080-23184940 Website : www.bluebirdwelfare.org Mob : +91-9739997775

Note: Organisation /NGO Partnership have to apply the Application for any Grant Assistances. After Applying for any of the Grant Assistance the Reference Number will be given. NGO Partnership Application without Reference Number will be not Consider. Separate paper may please be added, if required, while answering/providing information against each question.

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