Confederation of NGO's of Rural India (CNRI)

The document is a membership application form for Self Help Groups (SHGs) to apply for beneficiary membership in the Confederation of NGOs of Rural India (CNRI) without voting rights. It requests information such as the name and address of the SHG, details of the supporting member NGO, bank account information, activities of the SHG, and payment of membership fees. It also includes an oath to be signed by member NGOs pledging their dedication to serving the underprivileged without discrimination and adhering to ethics and transparency.

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Confederation of NGO's of Rural India (CNRI)

Uploaded by

MalikSadaketAli

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Download as DOC, PDF, TXT or read online on Scribd

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Confederation of NGO’s of Rural India (CNRI)

FORM 1-C

MEMBERSHIP APPLICATION FORM FOR ENROLLMENT OF

SELF HELP GROUPS (SHGs) AS BENEFICIARY MEMBERS OF CNRI
(Without Voting Rights)

To
The Member Secretary
Confederation of NGOs of Rural India (CNRI)
New Delhi

Dear Sir,

I/We hereby apply for the Beneficiary Category Membership of CNRI by furnishing the following
particulars:-

1. Name of the SHG:

__________________________________________________________________
2. Address:
__________________________________________________________________________
__________________________________________________________________________________
3. Phone Nos.
________________________________________________________________________
4. Fax No(s)
:_________________________________________________________________________
5. E.Mail ID
__________________________________________________________________________
6. Name of the member-NGO of CNRI (supporting or linked with the SHG):
__________________________________________________________________________________
7. Membership No.of the NGO:
__________________________________________________________
8. Address of the NGO:
_________________________________________________________________
9. Phone No.
_________________________________________________________________________
10. Fax
No.:___________________________________________________________________________
11. E.Mail ID:
_________________________________________________________________________
12. No. of persons who are part of the SHG applicant:
__________________________________________
13. Date of Formation of SHG applicant:
___________________________________________________
Confederation of NGO’s of Rural India (CNRI)

14. Name of the Bank of the SHG – Applicant:

_______________________________________________
15. Address of the Bank:
_________________________________________________________________
__________________________________________________________________________________
16. Account Number:
___________________________________________________________________
17. Activities undertaken by the SHG – applicant:
_____________________________________________
__________________________________________________________________________________
18. Demand Draft No.__________________ Date ______________
19. Name of the Bank: ________________________Name of the Branch:
_________________________
20. Entrance Fee of Rs.50/- (Fifty only) and Annual Subscription of Rs.100/-(One hundred only)
remitted on behalf of SHG – applicant.

Endorsement by Member-NGO or Signature of the

By the District/State President with signatures Leader of the SHG – Applicant

Text of OATH to be signed by Member NGOs joining CNRI at the time of admission

Confederation of NGOs of Rural India

OATH
I, on the occasion of joining CNRI reiterate my faith in the CNRI movement and solemnly affirm: -

• That I wholeheartedly dedicate myself to the service of the needy and I shall always abide by the
objectives, rules and regulations of the Voluntary Organization I am associated with,

• That I shall always render service to the people without any discrimination on grounds of class,
caste, creed, colour, community, gender or religious faith,

and

• That I shall always observe and conform to ethics of public conduct, transparency in my dealings
and be accountable for all my actions connected with service to the organization in the interest of
the Society.

Signature ____________________________

Name of the VO
____________________________

Address of VO_____________________________
Confederation of NGO’s of Rural India (CNRI)

__________________________________________

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