New Hope –Partner / Membership Application form (Mission)

Name of Mission

Head / Registered office Address

Phone

Web

Year of Founding

Founder’s Name

Year of Registration

Registration Number

District

Registered under : (Society Act / Trust Act.]

Registered State

Number of Persons in the Board

Men

Women

Name of the chief Functionary /Director

Mobile

Is your mission a member of MUT / IMA/EFI/Any other?

Yes No

If Yes Name it

Number of Pastors / Workers in your mission

Men

Women

Are you a branch of any international Mission?

Yes No

Does your mission get any Fund from abroad missions

Yes No

Does your Mission have FCRA Number?

Yes No

Does your Mission have any legal dispute in court?

Yes No

Has your Mission passed a resolution to join in New Hope project?

Yes No

If Yes , date of resolution

Send a copy of resolution

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Details of Fields : (Number of States of Your Mission work presently)

Name of states you work in India	Languages of People in your Fields	People Groups : Tribal / Dalits/ Gipsy / Transgender / BC/others

Your mission Focus on

Your Mission Fields are in

Number of Vehicles, Your mission has

Two wheeler

Cars

Van

Bus

Any other vehicles

Number of Churches you have build

Concrete

Tiled

Number of plots you own without Church building

Do you have any children home or orphanage?

Name of the Bank your mission maintain Accounts :

Bank Branch Name :

IFSC No :

Your Account No :

(SB/CA/NRI)

Declaration

I/We, hereby declare that all information that I /We have given above are true to the best of my / our knowledge and and I/We would agree all the terms and conditions that are now and will be made every now and then in future for the better service of New Hope Project. I/We also agree to settle the matters if any within the judicial jurisdiction at Nagercoil.

Place

(Applicant’s Signature)

Date

Introduced / Recommended by :

New Membership contribution Rs

Paid on

If paid by DD/Cheque No

Date

For Official use only

Accepted / Rejected

Membership No : PM

Receipt No

Date

Verified by

Director / General Secretary