NNNGO Membership Online Application

Kindly fill the form below to send us your online application.

Name of Main Contact: *

Position: *

Name of Organization: *

Acronym: *

Address: *

City: *

State: *

Geo-Political Zone: *

Country: *

Email: *

Website:

Telephone: *

Year Established: *

Registered with Corporate Affairs Commission?: *

Yes

Membership category applying for?: *

Director's Name: *

Director's Email:: *

Does your organization have a Constitution or Article of Association?: *

Yes

Does your organization have?: *

	Yes	No
(a) An annual report:
(b) Audited Accounts:

Is your organizations management appointed by?: *

	Yes	No
(a) Members:
(b) Selection Committee:

Please indicate from the list below your organizations annual budget: *

Is your organization a member of any network or umbrella body (Please name)?: *

Beneficiaries of your organization (tick as appropriate): *

Children and young people

People with disabilities/Special needs

General Public/Human Kind

NGOs/ CBOs / FBOs / PVOs

Women groups

People of a particular ethnic/ region

Function of your organization (tick as appropriate): *

Other Functions of your organization (Not listed above. Separate each with comma)::

Other Areas of focus by theme (Not listed above. Separate each with a comma):

Nominate an organization for the membership of NNNGO (Optional)

Name of organization being nominated:

Email of organization being nominated:

Phone of organization being nominated:

Membership Agreement: *

I Agree

On behalf of the applicant organization, this is to certify that this organization agrees with NNNGO’s mission, vision, values and fully subscribe to the NNNGO code of conduct for NGOs in Nigeria and have read the NNNGO membership criteria.

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