Application Form (Form B) Agency Registration Application Form Please fill in all required details carefully before submitting. 1. Name of the Agency which is to be registered 2. Law under which the registration is required 3. Name of District where registration is required 4. Address of Agency / Office 5. Status of Office [radio* office-status use_label_element "Rented" "Own"]6. Contact No. of Office 7. Email 8. Detail of Moveable and Immoveable Assets of the Agency (if any) 9. Detail of Beneficiaries (if any) 10. Detail of Donors (including donors’ name, address, and donated amount) 11. Any Other Source of Income (if any) 12. Aims and Objects of the Agency 13. Area of Operation (Whether City or All Districts of AJK) 14. Plan of Operation Please attach a separate sheet giving a brief statement of the steps to be taken for the establishment of the agency, with reference to accommodation, qualified personnel and equipment, if necessary. 15. How Proposed to be Financed 16. Names, Occupations, and Addresses of the Founder Members 17. Name or Names of the Bank(s) in which funds of the Agency are proposed to be kept [textare* bank-names placeholder "Enter name(s) of bank(s)"] Declaration It is requested that the agency may be registered under the aforesaid Ordinance. We undertake to inform you of any change in the office bearers of the agency within thirty days thereof. I hereby declare that the above information is true and correct to the best of my knowledge. Attachments (Upload Files) i) A copy of the Constitution of the Agency ii) NOC of the Organization issued by registration authority iii) Proof of Office iv) Detail of Donors v) Detail of Assets vi) Aims and Objectives vii)) Copies of CNICs of 15 Members of the Oraganization viii)NOC of Concerned Department (in case of government servant) ix)Affidavit Regarding No Foreign Funding x) Recommendation Letter from Concerned Social Welfare Officer Certification I certify that the statements above are correct. I hereby certify that the information provided above is true and correct. Names of Authorized Office-Bearer Designation Address Date