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Application Form
Please fill out the form below and we will get back to you promptly.
ORGANIZATIONAL INFORMATION
Legal name of organization
(Required)
Year of inception of the organization
(Required)
Registration number
(Required)
Annual revenue for FY 2022-23
(Required)
Annual revenue for FY 2021-22
(Required)
Annual revenue for FY 2020-21
List your organization's thematic area(s) of work
(Required)
Does the NGO engage in any transactions which would result in a private benefit, separate from its charitable services? (For example, does the NGO raise money for any private companies or private individuals who are not part of the charity service population etc.)
(Required)
Yes
No
Please explain
(Required)
SOURCE(S) OF FUNDING
List 3 major donors, mention the amount donated by them and provide information on the project(s) supported by them.
(Required)
LEADERSHIP
List the founder(s), board members and core team of the organization.
(Required)
No. of paid permanent staff
(Required)
No. of paid volunteer/contractual staff
(Required)
No. of active unpaid full-time volunteers
(Required)
EFFECTIVE COMMUNICATION
Details of point of contact person(s) for India NGO (Minimum 2 conference calls per month)
Name of the Point of Contact (PoC)
(Required)
Email ID of the PoC
(Required)
Contact number of the PoC
(Required)
EVIDENCE OF EFFECTIVENESS & IMPACT
List the impact made by the organization so far. Write about only implementation-based project outcomes.
(Required)
Total number of beneficiaries reached out to by your organization so far.
(Required)
What are the organization’s expectations for mentorship under the Jupiter 360 Foundation mentorship program?
(Required)
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