APPLICATION FOR REGISTRATION OF NON-GOVERNMENTAL ORGANIZATIONS

Under Voluntary Social Services Organizations Registration and Supervision) Act No 31 of 1980 as Amended by

Act No 8 of 1998.

PART I -Organization Profile -     Local Non-governmental Organization

 

  1. Name of the Organization: {Name_of_the_Organization:value}
  1. Official Address of the Head Office: {Official_Address_of_the_Head_Office:value}
  2. Official E-mail Address:{Official_Email_Address:value}

       

  1. Keycontactpersons:

No.

Name

Designation

Tel.No

Email

1

  {Name:value}

{Designation:value}

  {Tel_No:value}  {Email:value}

2

 {Name2:value}

{Designation2:value}

 {TelNo2:value} {Email2:value}

3

 {Name3:value}

{Designation3:value}

 {TelNo3:value} {Email3:value}
  1. Contract Details of the Head office:

Tel.No.

  {TelNo:value}

Fax No.

 {FaxNo:value}

Email Address

 {EmailAddress:value}

FB/Blog/Twitter

 {Social_Media:value}

WhatsApp No.

 {WhatsAppNo:value}

Website

 {Website:value}
  1. Year in which NGOwas established: {Year:value}
  1. If your organization is already registered,*provide the following information: 
    1. Law/Act and Institution under which your organization is formed and registered :- {organization_:value}

    2. Name :- {Name5:value}

    3. Registration No. :- {Registration_No:value}

    4. Date of Registration :- {Date_of_Registration:value}

 *(Please attach a certified copy of registration certificate and constitutionor Article of the Association)    

  1. Key Office Bearers/Board of Directors/Trustees /Executive Committee Membersof the NGO:

No

 

Full Name of Office Bearers

Designation

Date of Appointment

NIC. No./

P.P. No.

Personal Address Details

Contact Details

(Tel. No. and

email)

Current Residential Address

Permanent Personal Add. Within Last 10 Years

1

 {Full_Name_of_Office_Bearers:value}  {Designation4:value}  {Date_of_Appointment:value}  {NIC_and_PP_No:value}  {Current_Residential_Address:value}  {Permanent Personal Add Within Last 10 Years :value}  {Contact_Details:value} 

2

 {OfficeBearers02:value}  {Designation5:value}  {Date_of_Appointment2:value}  {NIC_and_PP_No1:value}  {Current_Residential_Address2:value}  {Permanent_Personal_Add_Within_Last_10_Years_2:value}  {Contact_Details2:value} 

3

 {OfficeBearers03:value}  {Designation6:value}  {Date_of_Appointment3:value}  {NIC_and_PP_No2:value}  {Current_Residential_Address3:value}  {Permanent_Personal_Add_Within_Last_10_Years_3 :value}  {Contact_Details3:value} 

4

 {OfficeBearers04:value}  {Designation7:value}  {Date_of_Appointment4:value}  {NIC_and_PP_No3:value}  {Current_Residential_Address4:value}  {Permanent_Personal_Add_Within_Last_10_Years_4 :value}  {Contact_Details4:value} 

5

6

*If  you  need  more space, please use a separate sheet.

 

PART I1–Organizational Information

  • Type of Organization: NEW Local   Existing NGO:  {Type_of_Organization:value}                      
  1. Vision of the NGO: {Vision_of_the_NGO:value}
  1. Mission of the NGO:{Mission_of_the_NGO:value}
  1. Objectives of the NGO:{Type_of_Organization:value}

             1. {one:value}

             2. {two:value}

             3. {three:value}

             4. {four:value}

PART I1I – Project Details

  1. Geographical Coverage in Sri Lanka (Districts /Divisions) where projects are expected to be implemented in Sri Lanka.

i. {one1:value}                                                                             iv.   {four4:value}                                               

ii. {two2:value}                                                                             v.   {five5:value}                                               

iii  {three3:value}                                                                           vi.  {six6:value}

  1. Subject areas under which the projects are expected to be implemented in the future/ongoing in Sri Lanka.

1.

{Subject_areas1:value} 

9.

 {Subject_areas2value} 

2.

 {Subject_areas1:value} 

10.

 {Subject_areas2:value} 

3.

 {Subject_areas1:value} 

11.

 {Subject_areas2:value} 

4.

 {Subject_areas1:value} 

12.

 {Subject_areas2:value} 

5.

 {Subject_areas1:value} 

13.

 {Subject_areas2:value} 

6.

 {Subject_areas1:value} 

14.

 {Subject_areas2:value} 

7.

 {Subject_areas1:value} 

15.

 {Subject_areas2:value} 

8.

 {Subject_areas1:value} 

16.

 {Subject_areas2:value} 
  1. Details of projects implemented within last five years:

(if applicable/ Not relevant to new Organizations)

 

No

 

Main Project Title

Geographical areas where projects were implemented

 

Project Period

 

Name of the Donor/Donor Agency

Project

Cost

Rs.

 

No of Beneficiaries *

 

Local

a

 {Main_Project_Title:value}  {Geographical_areas_:value}  {Project_Period:value}  {Name_of_the_Donor1:value}  {Project_Cost_Rs:value}  {No_of_Beneficiaries_:value} 

b

 {Main_Project_Title2:value}  {Geographical_areas_2:value}  {Project_Period2:value}  {Name_of_the_Donor_:value}  {Project_Cost_Rs2:value}  {No_of_Beneficiaries2:value} 

c

 {Main_Project_Title3:value}  {Geographical_areas3:value}  {Project_Period3:value}  {Name_of_the_Donor3:value}  {Project_Cost_Rs3:value}  {No_of_Beneficiaries3:value} 

d

  

e

  

F

  

.

  1. Project Information (Ongoing /Future):

 

S/No

 

Main Project Title

Geographical Area (District/Division/GN)

 

Project Period

Details of Funding

Project Budget

Rs.

Local

(Name of the funding Agency)

District

Divisional

GN Division

1

 {Main_Project_Title4:value}  {District:value}  {Divisional:value}  {GN_Division:value}  {Project_Period4:value}  {Details_of_Funding_Local:value}  {Project_Budget_Rs4:value} 

2

 {Main_Project_Title5:value}  {District2:value}  {Divisional1:value}  {GN_Division2:value}  {Project_Period6:value}  {Details_of_Funding_Local_2:value}  {Project_Budget_2:value} 

3

4

5

PART IV – Funding Information

  1. Estimated Annual Income for the Current Year Rs: {Estimated_Annual_Income_for_the_Current_Year:value} 

(Please provide details in the table below)

 

No

 

Funding Sources

Estimated Amount

Rs.

a.

Member Fees

 {Member_Fees:value} 

b.

Self-Funding

 {Self-Funding:value} 

c.

Local Donors

 {Local_Donors:value} 

e.

Any other Donor Agencies

(Pleasespecify)

 {Any_other_Donor_Agencies:value} 
  1. EstimatedAnnualExpenditure forthe Current Year Rs:

Type  of Expenditure

Details of Expenditure

(i.e. project name, and each cost heading) 

Estimated Amount

Rs.

Capital Expenditure

1.{Details_of_Expenditure1:value} 

2.{Details_of_Expenditure2:value} 

3.{Details_of_Expenditure3:value} 

4.{Details_of_Expenditure4:value} 

{Estimated_Amount_1:value} 

{Estimated_Amount_2:value} 

{Estimated_Amount_3:value} 

{Estimated_Amount_4:value} 

Recurrent Expenditure

1.{Details of Expenditure1copy:value} 

2.{Details_of_Expenditure2_copy:value} 

3.{Details_of_Expenditure3_copy:value} 

4.{Details_of_Expenditure4_copy:value} 

{Estimated Amount Rs:value} 

{Estimated_Amount_1_copy:value} 

{Estimated_Amount_3_copy:value} 

{Estimated_Amount_4_copy:value} 

Total Expenditure Rs.

 {Total_Expenditure:value}+{Total_Expenditure2_copy:value} {Total_Expenditure2:value}+{Total_Expenditure_copy:value}
  1. Funding Agency /Agencies, if any: Please provide details in the table below:

Name of Funding Sources

Name of the Funding Agency/Agencies

Addresses

Tel.No

Email

FB/Blog/Twitter

Web site

Local

1.{Name_of_the_Funding_Agency_Agencies:value}

2.{Name_of_the_Funding_Agency_Agencies2:value}

{Addresses:value}

{Addresses2:value}   

{TelNo1:value} 

{TelNo6:value}  

{Email4:value} 

{Email6:value}  

{social_media_1:value} 

{social_media6:value}  

{Web_site:value} 

{Web_site2:value}  

Foreign

1.{Name_of_the_Funding_Agency3:value}

2.{Name_of_the_Funding_Agency4:value}

{Addresses3:value}

{Addresses8:value}

{TelNo7:value} 

{TelNo9:value}


 

{Email7:value} 

{Email9:value}



  

{social_media7:value} 

{social_media8:value}



  

{Web_site3:value} 

{Web_site9:value}


 

 

PART V – Members and Staff Details

  1. Membership      (a)No of Life Members: {No_of_Life_Members:value}

                                  (b)  No of Active Members: {No_of_Active_Members:value}

                                  (c)   No of Associates Members: {No_of_Associates_Members:value}

                                  (d)No of Total Members: {No_of_Total_Members__:value}      

  1. Staff Details:
  • Total No of Local Staff: {Total_No_of_Local_Staff:value} 

(Please enter details in the table below)

S/N

Full Name 

Nationality

Current Post in the Organization

NIC No

Personal Address Details

Contact Details

(Tel. No. and

email)

Current Residential Address

Permanent Personal Add. With in Last 10 Years

1

 {Full_Name__11:value}  {Nationality:value}  {Current_Post_in_the_Organization:value}  {NIC_No:value}  {Current_Residential_Address22:value}  {Permanent_Personal_Add_With_in_Last_10_Years_:value}  {Contact_Details_:value} 

2

 {Full_Name__22:value}  {Nationality33:value}  {Current_Post_in_the_Organization33:value}  {NIC_No44:value}  {Current_Residential_Address_22:value}  {Permanent_Personal_Add:value}  {Contact_Details44:value} 

3

4

PART V- Assets and Banker’s Details

(a) Particulars of Assets: Please provide details in the table given below:

S/No

Name of the Assets

No of items

Financial Value as at reporting date Rs.
 1 {Name_of_the_Assets:value}  {No_of_items:value}  {Financial_Value_as_at_reporting_date:value} 
 2 {Name_of_the_Assets1:value}  {No_of_items2:value}  {Financial_Value_as_at_reporting_date1:value} 
 3 {Name_of_the_Assets2:value}  {No_of_items3:value}  {Financial_Value_as_at_reporting_date_2:value} 
  1. Particulars of Bankers in Sri Lanka:

S/No

Name of the Banks

Name of Branch

Account No.

Balance as at reporting date Rs.
{SNo:value}  {Name_of_the_Banks:value}  {Name_of_Branch:value}  {Account_No:value}  {Balance_as_at_reporting_date:value} 
{SNo1:value}  {Name_of_the_Banks1:value}  {Name_of_Branch1:value}  {Account_No1:value}  {Balance_as_at_reporting_date_1:value} 
{SNo2:value}  {Name_of_the_Banks2:value}  {Name_of_Branch2:value}  {Account_No2:value}  {Balance_as_at_reporting_date_2:value} 

DECLARATION

I,…………………………………. (Name of Secretary) on behalf of the ………………………. (Name of the organization) hereby undertake to abide by the provisions of the Voluntary Social Service Organizations (Registration and Supervision) Act, No.  31 of1980, and the regulations made thereunder and certify that this application is duly completed and submitted in terms of the provisions of the said Act and the regulations made thereunder and all other instructions and directions issued by the Registrar  of the Voluntary Social Services Organization from time to time.

I also certify that all the information given in this application is true and correct to the best of my knowledge.

……………………………..

Signature of Secretary (Official Stamp)

Name with Initials : {Name_with_Initials:value} 

Designation     : {Designation11:value} 

Place                : {Place:value} 

Date           : {Date:value} 

Following Documents should be submitted along with the Application Form for Registration -

Local Non-governmental Organization.

 

S/No

Organizations already established

New Organizations

01

Request letter for registration

Request letter for registration

02

Completed Application Form

Completed Application Form

03

        i.            Articles of association (If registered as a guaranteed company)

      ii.            Company registration certificate and license (If registered as a guaranteed company)

    iii.            Constitution of the NGO

            (Should be in the prescribed format)

        i.            Articles of association (If registered as a guaranteed company)

      ii.            Company registration certificate and license (If registered as a guaranteed company)

    iii.            Constitution of the NGO

            (Should be in the prescribed format)

04

Funding guarantee letters from donors / donor agencies and their details

(Local  /Foreign donors)

Funding guarantee letters from donors / donor agencies and their details

(Local  /Foreign donors)

05

Project proposals relating to future projects

(At least two project proposals should be submitted)

Project proposals relating to future projects

(At least two project proposals should be submitted)

 

06

Copies of previous Registration Certificates.

(Issued by  any government bodies)

Copies of the Other Institute Registration Certificates, if any

(Issued by  any government bodies)

07

Minutes  of the first and last general meetings with a  list of participants and their signatures

Minutes  of the first and last general meetings with a  list of participants and their signatures

08

Organization Structure

Organization Structure

09

Two Letters from relevant District Secretary / Divisional Secretary

(Stating that the organization is functional  in that district/ division)

Status reports  from District NGO  coordinators will be called by the Secretariat

10

Annual Reports

(Last 3 years)

Not Applicable

11

Audited Financial Reports

(Last 3 years)

Not Applicable

 

NB:

(a)   3 sets of above mentioned documents (one original set and two certified photocopy sets) should be submitted for the registration purpose to the National Secretariat.

(b)  If any document is not in English, English translated version should be submitted along with originals.
  1. LOV & If select Category 16 there should be a space to specify
  1. Total should be calculated here