Annexure-I1 For office use only FORM FOR ENLISTING WITH Part-A 1. NHRC Name of the NGO Address District State Pin : 2. 3. 4. Whether Registered or not If yes, No. & date yew0 Law under which regd.* Regd. with Name and address of office bearers " PresidentlPatron Secy.lJS Treasurer Ph. (0) (R) Ph. (0) (R) Ph. (0) (R) Name and address of person authorized to representlcorrespond: Name Designation Address Ph. (0) A 5. (R) Objective-of NGO Arealactiviiy presently engaged in . 6. . ._. . . . , Extent of ~nnual'incomeand expenditure A- 8 Income Rs. L : , ..' 'i, 1.: . I - .,., :->' ,: Expenditure Rs. A I ;.>r . .. !..,,: I I . ! , - -. P .! ; I - '

Select target paragraph3