NEPHAK MEMBERSHIP
Thank you for taking time to submit these responses to us. Currently we are updating our databases and require you fill the form to help us serve you better in the future. This will take about 30 minutes. After completing, submit the form and it will update us automatically.

Your responses are valuable to us as it will assist us in coordinating our members better.

Name of your Organization
Your answer
Your abbreviations
Your answer
Name of contact person
Your answer
Cell phone number of contact person
Your answer
Email address of contact person
Your answer
Postal address of your organization
Your answer
Please provide the organization landline telephone contacts.
Your answer
Please provide the organization cell phone contacts
Your answer
Please provide the organization email address
Your answer
Please provide the organization physical address
(street address).
Your answer
Website
Your answer
Non-Governmental Organization (NGO)
Required
When was your organization established?
MM
/
DD
/
YYYY
Is your organization legally registered?
When was your organization registered?
MM
/
DD
/
YYYY
What is your registration certificate number?
Your answer
What is the Goal of your organization
Your answer
Vision of your organization
Your answer
Mission of your organization
Your answer
Which Province is the organization based?
Pick one
County?
Your answer
District?
Your answer
Constituency?
Your answer
Number of volunteers and intern staff in your organization
Your answer
Number of permanent staff in your organization.
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of NEPHAK. Report Abuse - Terms of Service - Additional Terms