Application Form for Non-Governmental Organization

APPLICATION FORM FOR NON-GOVERNMENTAL ORGANIZATIONS
(Please read each question carefully and mark the appropriate box or fill out the blank spaces in either English or French.)
HANDWRITTEN OR ALTERED FORMS WILL NOT BE ACCEPTED
1
Organization’s General Information
Name of Organization Year Founded (inc. Month)
Country or countries where the NGO is registered as a non-profit and tax-exempt organization. (Please indicate
the year of registration in parenthesis, next to the country.)
Headquarters’ mailing address
Telephone (please include country and area codes) FAX (please include country and area codes)
E-mail address Web address
Will your organization have a representative at the United Nations? Yes No
President or Chief Administrative Officer
Name Last name
Address Telephone E-mail Address
Main Representative at the United Nations
Name Last name
Address Telephone E-mail Address
2
Representatives Information
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