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.