Youth Club Registration Form
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Name of Youth Club
District
Ward/s
Sector
Email / Contact
Date of Establishment
Registration Number
Does the club have an office?
Yes
No
Type of Office
Own building
On lease
Part of Ward Asset
Rent Free Private
Address
Are proceedings of youth club meetings maintained?
Yes
No
Are books of accounts maintained?
Yes
No
Do you have a bank account?
Yes
No
Do you have a constitution?
Yes
No
Has youth club ever received financial assistance?
Yes
No
Source of Assistance
Govt Assistance
Private Company
Agency
Other
Sector
Youth In Agribusiness
Youth In Tourism, Environment and Climate Change
Youth In Sport, Arts and Culture
Youth In Mining & Construction
Youth In ICTs & Transport
Youth In Health & Education
Youth In Governance
Membership Details
No of Female
No of Male
No of Persons with Disabilities
Membership List
Name
Designation
Age
Ward
Contacts
Add Member
Declaration
I hereby declare that the above information provided is correct and true.
Signed
Designation
Place
Date
Submit
