Executive Committee Name Address ID No. Tel/Fax/Email

INFORMATION SHEET ON ASSOCIATION
File No: ………. (For Office Use)
1
Name of Association
2
3
Registration No. of
Association
Seat of the Association
4
No. of Members
5
Day of Monthly Meeting
6
Date of Last Annual
General Meeting (AGM)
Name and Address of
Bank
District: …………………………….
Male: …………
7
8
Female: …………..
Total: …………
Bank Account No.
Executive
Committee
Name
Address
ID No.
Tel/Fax/Email
President
Vice President
Secretary
Assistant Secretary
Treasurer
Assistant Treasurer
Member
Member
Member
Member
Member
Member
Member
We certify that the above information is true and correct.
……………………………
Signature of the Secretary
………………………….
Signature of the President
Date………..
Name of Association:
Address:
LIST OF MEMBERS
SN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Name
ID No.
Sex
Address
Phone No.