Submitted by admin on Tue, 09/12/2017 - 13:20 Contact 1 Resources About Org Contact Activities Needs of your organisation Legal/ Tax Bank details Documents Declaration About Org NGO Name * Popular Name Tagline Year of Establishment * Number of Full Time Volunteers * About the organisation * Please share with how many people your organisation is connected Impact Type of Intervention Please tick the type of interventions undertaken by your organisation. You can select more than one Direct service Network Support Advocacy & Campaigning Grant-making Intermediary Financial Year for Annual Expenditure - None -FY 2018-19 Annual Expenditure (Rs in lacs) Logo Upload More informationFiles must be less than 1 MB. Allowed file types: gif jpg jpeg png. Pics of your work Please uplaod Pics of your programme activities related tio #GivingTuesdayIndia More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png. Upload Display Picture for Banner Upload Please upload one nice pic (not your logo) that you have used on your website/ facebook page/ annual report. More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png. Contact Organisation Primary Email Address Website Correspondence Address of your organisation * Correspondence - Other Address details (if you require) City * Pincode * State * District Please tick if Registered address same as Correspondence address. If Correspondence address is same as Registered address, please tick and prefill Tick Registered address- Address Line 1 Registered address- Other Address details (if you require) Registered address- City/Town/Village/Taluka Registered address- PIN Registered address- State Registered address- District Visit School/ college/ educational centreCommunity CentreResidential centreHospital/ Health centreVocational training centreWorkshop/ production facilityEvent venue/ Camp (temporary)Collection CentreOffice Visit Timing - date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068 Year Visit Address Visit address - State Visit address - City Visit address - Pin code If you are running a Residential Centre, please indicate break-up of residents Men Men (number) Women Residential Centre Women Women (number) Children Children Residential Centre Children (number) Telephone Type - None -LandlineMobile Telephone/ Mobile number Head of the Organisation- Name Head of the Organisation- Designation Head of the Organisation-Email Head of the Organisation- Telephone Head of the Organisation- Mobile publicly displayed Head of the Organisation- Mobile publicly displayed Head of the Organisation- Mobile If contact person is same as head, please tick and prefill Tick 2 Contact Person Contact Person- Last Name Contact Person- Designation Contact Person- Email * Contact Person- Telephone * Contact Person-Mobile publicly displayed Contact Person-Mobile publicly displayed Contact Person- Mobile WhatsApp number (Please add this number to GSI's dedicted WhatsApp number) Facebook Twitter LinkedIn Activities Organisation Programme Classification Motion picture, Radio, TV and other Entertainment Activities Dramatic Arts, Music and other Arts Activities News Agencies' Activities Libraries and Information Centres and Archives Museums and Preservation of Historical Sites Publishing, Printing and Reproduction of Recorded Media Sporting Activities (includes fitness & wellness centres) Recreation and Social Clubs Service Clubs (provide services to members & local communities) Botanical and Zoological Gardens and Nature Reserves Activities Culture and recreation, n.e.c. Pre primary, Primary and Upper-primary Gen. Secondary/Senior Secondary Education Gen. Secondary/Senior Secondary school type Education for handicapped General higher education in Science, Commerce and humanity Higher education in Engineering and Technical courses Higher education in Medical, Bio-technology and related courses Higher education in professional/ vocational courses like Hotel management, Fashion design, Secretarial procedures, Teachers training, Law etc Higher education in Management courses Higher education in Information and Technology courses Higher education in others not elsewhere classified Literacy programmes for children with no access to school Technical & vocational Secondary/Senior Secondary Education below university level Technical and vocational school type education for Handicapped Education by Correspondence Coaching Centres Tuitions by Individuals Training/ Education/ Conduct of Specialised courses in Computer knowledge Adult/ continuing education Research in Natural Sciences Research in Medical Sciences Research in Agriculture Research in Science &Technology Research in Social Sciences & Humanities Education and research, n.e.c. General and Specialised Hospitals with accommodation Nursing Homes Mental Health and Crisis Intervention Psychiatric Hospitals Mental Health treatment Crisis Intervention Consultations by General Physicians and Specialists Activities of Nurses, Physiotherapists and Para medical practitioners Independent Diagnostics/ Pathological laboratories Independent Blood, Sperm & Organ banks Independent Ambulance Activities Public Health Education Activities Other Human Health Activities, n.e.c Health, n.e.c. Homes for Children Homes for the Aged Homes for the Handicapped Day Care Centres for Children Day Care Centres for Handicapped Marriage Bureaus Mid Day Meals, Food distribution Disaster/ Emergency Prevention and Control Temporary Shelters Refugee Assistance Clothing & Other Material Assistance Welfare and Guidance Activities for Children Other Counselling Centres Social services, n.e.c. Sustainable Agriculture Sustainable Forestry Recycling of Metal waste Recycling of Non-metal waste Soil Conservation Services Conservation & Preservation of Natural Recourses Sustainable Animal Husbandry and Dairy Farming Protection Activities for Animals and Birds Veterinary Activities Pet Care Services Sewage and Refuse Disposal, Sanitation, etc Organisations Promoting Environmental Concerns Environment, n.e.c. Generation of Electricity from Non Conventional Sources Grassroots Community Development Organisations Construction of Utility Projects (e.g. irrigation systems) Business and Management Consultancy Architectural, Engineering and Other Technical Activities Collection, Purification and Distribution of Water Construction and Maintenance of Roads, Bridges, Rail beds, Pipelines, etc Real Estate and Renting Inns, Dharamshalas and Other Short term Lodging Student Dormitories, Halls, Hostels Short Stay Accommodation, n.e.c Construction of Residential Buildings Job Training Programmes Vocational Counselling and Guidance Employment and Training, n.e.c Funeral and Related Activities Activities of Shoe shiners, Porters, etc Astrological and Spiritualists' Activities Activities of aayas, dhai, governess, baby sitter, etc Activities of General Household Maintenance/ Domestic Help Manufacture of Dairy Products Manufacture of Grain Mill Products Manufacture of other Food Products Manufacture of Beverages Manufacture of Tobacco Products Manufacture of Textiles Manufacture of Garments Tanning and Manufacture of Leather items Manufacture of Wood and Wood Products Manufacture of Paper and Paper Products Manufacture of Chemicals and Chemical Products Manufacture of Rubber and Plastic Products Manufacture of Glass and Glass Products Manufacture of Bricks, Clay and Ceramic Products Manufacture of Cement, Lime and Plaster Manufacture of other Non Metallic Mineral Products, n.e.c Manufacture of Fabricated Metal Products Manufacture of Machinery and Equipment, n.e.c Manufacture of Office Equipment Manufacture of Electrical Machinery Manufacture of Radio, TV and Communication Equipment Manufacture of Medical, Precision and Optical Instruments Manufacture of Transport Equipment Manufacture of Furniture Manufacture of Products, n.e.c Wholesale Trade Retail Trade Hotels and Caterings Land Transport (Taxi, School Buses, Bullock carts, etc) Water Transport Storage and Warehousing Other Supporting Transport Activities Travel and Tourists Assistance Courier and Telecom Related Services Accounting, Audit & Tax Consultancy Market Research & Public Opinion Polling Advertising Hardware Consultancy Software Publishing, Consultancy and Supply Web Page Designing Data Processing Organisations compiling directories and Lists Maintenance and repair of office, accounting and other computing machinery Activities of Cyber Café Other Computer Related Activities, n.e.c Other Business Activities, n.e.c Construction of Non-Residential Buildings Construction, n.e.c Development and housing, n.e.c. Civic & Advocacy organisations Legal Activities Activities of Political Organisations Other Membership Organisations Law, advocacy and politics, n.e.c Financial Intermediation Grant-making foundations Other Philanthropic Intermediaries and Voluntarism Promotion International Disaster & Relief Organisations International Human Rights & Peace Organisations International Development Assistance Associations International Exchange/ Cultural Programmes Activities of Religious Organisations Industry Associations, Chambers of Commerce and similar federations Professional Organisations Trade Unions Business And Professional Associations, Unions, n.e.c Extra Territorial Organisations and Bodies (UN, UN agencies, IMF, EC, etc) Not Elsewhere Classified Beneficiary served * Accident VictimsAdolescentsAdultsAnimal LoversAnimals / BirdsArmed ForcesArtisansArtistsBeggarsBlood DonorsChildrenChronically IllCommercial Sex WorkersConstruction WorkersDalitsDisaster AffectedDisplaced PersonsDomestic WorkersElderlyEthnic GroupsFactory WorkersFarmers / Farm LabourersFiremenFreedom FightersGirl ChildHealthcare WorkersHIV+HomelessJuvenileLegal WorkersLesbian / Gays / Bisexuals / TransgenderMedical PractionersMentally ChallengedMigrantsOrgan DonorsOrphansPatientsPhysically ChallengedPlantsPolicemenPortersPrisonersRefugeesRickshawallahs / DriversRural PoorSalt WorkersScavengers (human)Slum DwellersSportspersonsStreet ChildrenStudentsTeachersTribalsTruckersUrban poorVolunteersWar victimsWeaversWomenYouthNGOsLabourers Focus of Activity - None -RuralUrbanRural & Urban Area of Operations: State Area of Operations: District India Country 6 Needs of your organisation Cause(s) Animal WelfareBusiness and Professional Associations / UnionsCare for the Physically/ Mentally ChallengedChildren / women / family welfareLaw / civic and advocacy issuesCulture and artsEconomicEducationElderly careEmergency and reliefEnvironmentHealthLivelihoods and trainingPhilanthropic Intermediaries and Voluntarism PromotionReligionSportsYouth welfareOtherMultipurpose Charitable WorksFree Cardiac Surgery & Follow-up for the impoverishedisHuman RightsEmployment of people with DisabilityWomen EmpowermentPovertyWildlifePromoting VolunteeringGender equityAgricultureMalnutritionSocial and community developmentSkill DevelopmentDevelopment of the marginalised-dalitsPeace Building & Conflict TransformationLearning disabilitiesDevelopmental issueSocial ChangeArmy walfareLife SkillsResearch & DevelopmentDevelopment and HousingSocial ServicesCulture and Recreation Fund-raising Goals for 2018 Other Goals for 2018 Things to buy Greeting cards/ calendars/ candles/ decorative itemsQuilts/ clothing / bags/ linenFood stuffHealth & Beauty productsAids & appliancesKitchen wareJewelleryStationeryOther Is your organisation willing to set up stalls for sale of products at a corporate mall/ fair/ mela etc Give Money URL Give Money URL 2 Give Money URL 3 Give Money URL 4 Give Money URL 5 Give Money URL 6 Give Time URL Collaborators - None -ChezubaImpact GuruGive Give Time URL 2 Collaborators 2 - None -ChezubaImpact GuruGive Give Time URL 3 Collaborators 3 - None -ChezubaImpact GuruGive Give Time URL 4 Collaborators 4 - None -ChezubaImpact GuruGive Give Time URL 5 Collaborators 5 - None -ChezubaImpact GuruGive Give Time URL 6 Collaborators 6 - None -ChezubaImpact GuruGive Things to donate Clothes - Bed-sheetsClothes - Children's clothingClothes - CurtainsClothes - Kurta-PyjamasClothes - Salwar suitClothes - SareeClothes - ShirtsClothes - TrousersDry Ration -PulsesDry Ration - RiceDry Ration - SaltDry Ration - SpicesDry Ration - SugarDry Ration - Tea-leavesDry Ration - WheatDry Ration - Wheat Flour (Atta)Footwear - Footwear- of any size (left & right tied together)Furniture - AlmirahsFurniture - RacksFurniture - Tables & ChairsHealth - Hygiene productsHealth - Medical Equipment (Ventilators , Small testing machines )Health - MedicinesOffice Equipment - Computer/ laptopOffice Equipment - FanOffice Equipment - Fax MachineOffice Equipment - PhotocopierOffice Equipment - PrinterOffice Equipment - TypewritersPaper - Engineering drawing sheetsPaper - EnvelopesPaper - MagazinesPaper - NewslettersPaper - NewspapersPaper - Old brochuresPaper - One side used paperPets - Pet accessoriesPets - Pet foodSchool Material - Black boardSchool Material - Drawing booksSchool Material - Lunch boxSchool Material - Note books & BooksSchool Material - School bagsSchool Material - Slate & ChalksSchool Material - StationerySchool Material - Water bottleSchool Material - Laboratory equipmentSchool Material - School UniformSports equipment - Sports equipmentToys & Games - Toys & GamesUtensils- (all kinds)Woollens - BlanketsWoollens - CapsWoollens - Jackets & CoatsWoollens - QuiltsWoollens - Socks & GlovesWoollens - Sweaters & ShawlsOthers - AC & coolersOthers - Audio & video tapesOthers - BicyclesOthers - BucketsOthers - CarpetsOthers - Flex bannersOthers - Invertor & generatorOthers - Medical equipmentOthers - Prams & baby cotOthers - Suitcase & trunksOthers - TarpaulinsOthers - TilesOthers - Umbrella & RainwearOthers - Washing machineOthers - Wheel chairsOthers - Sewing machinesOthers - Tool kits (Carpenter, Barber, Electrician ,Welding)Memory cardsPendrivesLED ProjectorNutritionToiletriesMedicinesEducational MaterialR.O. System and Water coolerCCTV CamerasWhite board markersBooks in any conditionBaby cotMilk supplementCleaning suppliesCosmetics for VTP programWhite boardFarm MachinesFour wheeler vehicleSchool bus Legal/ Tax Registration As - None -TrustSocietySection 25 of Indian Companies Act 1956Section 8 of Indian Companies Act 2013Other Registration Date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068 Year Registration Document Please upload your proof of registration as trust/ society/ section 8 or section 25 company More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png txt pdf doc docx odt ppt pptx odp xls xlsx ods. Upload Registration No Registration Under - None -Companies Act, 1956Companies Act, 2013Societies Registration Act, 1860Indian Trust Act, 1882Charitable and Religious Trusts Act, 1920Bombay Public Trust Act, 1950Maharashtra Public Trusts Act, 1950Other-specify Registration Under Other State Registration Expiry date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068 Year IT PAN * GuideStar Number (GSN) NITI Aayog (Government of India) ID FCRA Number (if you have) FCRA Expiry (if you have) MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068 Year 12A/ 12AA Number (if you have) 12A/ 12AA Expiry (if applicable) 80G Number (if you have) 80G Expiry (if applicable) Bank details Bank Name Branch details IFSC code Documents 12A/ 12AA More informationFiles must be less than 1 MB. Allowed file types: gif jpg jpeg png. Upload 80G More informationFiles must be less than 1 MB. Allowed file types: gif jpg jpeg png. Upload FCRA More informationFiles must be less than 1 MB. Allowed file types: gif jpg jpeg png. Upload Registration certificate as Trust/ Society/ Sec8 or 25 Company More informationFiles must be less than 2 MB. Allowed file types: pdf doc. Upload Latest Income Tax Return (ITR V) for which Financial Year - None -AY 2018-2019AY 2017-2018 Latest Income Tax Return (ITR V) More informationFiles must be less than 1 MB. Allowed file types: gif jpg jpeg png pdf. Upload Any other document More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png pdf. Upload Any other document type - None -Audited accounts for FY 2016-17Audited accounts for FY 2015-16Annual Report for FY 2016-17Annual Report for FY 2015-16Trust Deed/ MoA & AoAFC Return for FY 2016-17FC Return for FY 2015-16Other Declaration We accept the terms of participation. We will give feedback of donations received in any form as a part of GivingTuesday India campaigns directly or through partners, within 30days of the end of campaign. We will not re-route any contributions already received or our own funds for campaigns. * We agree to the terms of participation. Name of Person filling the form * Designation of Person filling the form Place How you come to know about #GivingTuesday * - Select -thru GuideStar Indiathru GivingTuesday Globalthru Facebookthru Twitterthru Googlethru LinkedInthru Emailthru Small Change Country 2 India Country 3 India Country 4 India Math question * 2 + 9 = Submit
