Application Form (Form A) Registration Form Please fill in all required fields carefully before submitting. (1) Name of the Agency (2) Address (3) Date of Establishment (4) Date, Place and No. of Registration under any other law (5) Aims and Objects of Agency (6) Area of Operation (whether city, districts of AJK) (7) Names, Occupations and Addresses of the Office-Bearers of the Agency (8) Name or Names of the Bank(s) in which funds of the Agency are kept (9a) Total Number of Members of the Agency on the Date of the First General Meeting (9b) Number of Members who Attended the Last General Meeting (10) Brief Statement (a) Accommodation for the Services Being Rendered (b) List of Qualified Personnel Working in the Agency (with Names and Qualifications) (c) Income and Expenditure for Last Three Years or Since Establishment (whichever is less) Declaration It is requested that the aforesaid agency may be registered under the Voluntary Social Welfare Agencies (R&C) Act, 2021. I undertake to inform you of any change in the office bearers of the agency within thirty days thereof. Attachments (Upload Files) i) A copy of the Constitution of the Agency ii) A copy of the Minutes of the Last General Meeting iii) Annual Report for the Last Three Years or Since Establishment (whichever is less) OR a Statement of Activities certified by the Social Welfare Officer iv)Copy of Bank Statement v)Election Report vi) Progress Report Certification I certify that the statements above are correct. I hereby certify that the information provided above is true and correct. Name of Authorized Office-Bearer Designation Date