CSI

Application Form



Please Note:
- If there are no details for a particular field, enter n/a or 0 where applicable
- Only .pdf,.doc,.docx,.xls,.xlsx file attachments are allowed


Name of Organization/ Institution

 

Type of Organization/ Institution

Registration No

 

Date Registered (DD/MM/YYYY)

 

CONTACT DETAILS

Contact Person

Position

 

Contact Work No

 

Cell No

 

Email Address

Website

 

Physical Address

 

Postal Address

 

Primary Focus Area


ORGANIZATION STRUCTURE


Brief Overview of Organization

 

Staff Currently Employed:

Racial Profile


 
 
 
 

Gender


 
 
 

Employed Over Two Proceeding Years:

Racial Profile


 
 
 
 

Gender


 
 
 

Volunteers: (If Applicable)

Racial Profile


 
 
 
 

Gender


 
 
 

Nature of Request

Describe Project

 

Desired Impact of Funding

 

How is it Measured

 

Project Sustainability


 

Beneficiaries:

Racial Profile



 
 
 
 
 

Gender


 
 
 

Project Budget (Provide Comprehensive Breakdown)

 

Other Donors

 

Additional Attachments

Latest Financials

 

Latest Annual Report

 

Registration Documents

 

Quotations/ Supporting Documents for Funding

 

List of Directors and their IDs

1.
Attach ID Copy

 
 

2.
Attach ID Copy

 
 

3.
Attach ID Copy

 
 

Additional Director

4.
Attach ID Copy

 
 

By submitting the above information you are agreeing to our T&Cs