Knowledge Management Portal

Are you a CSO or Individual?

Civil Society Organizations Individual Activists

For more information about filling individual form please click on the following link: Click Here

Application for Membership in Promote Musharikat Coalition Individual Activist or CSO Delegate

We would like to join the following Musharikat coalition: Select maximum of 2

Women and the Peace Process

Women's Political Participation

Gender based violence

First Name:

Last Name (or father’s name):

Currently living province:

City/District:

Please select a province first.

Cell No:

Alternate Cell:

Email:

Alternate Email

Gender:

Tazkera/National ID No:

(Attach copy)

Education:

Field/Faculty

University Name

Current Employment:

Name of Organization

Job Title

Your CV may be attached to provide examples of your relevant experience. If do not have CV (this does not disqualify you from being a member) : ( Attachment)

Experience #1:

Job Title

Name of Organization

From

Provinces/Districts

Purpose/Objectives of Project

Experience #2:

Job Title

Name of Organization

From

Provinces/Districts

Purpose/Objectives of Project

Have you received support from any other USAID project?
If yes, which project:

Yes No

NOTE: Please be assured that all information provided will be closely held and not be shared with any other party, for any purpose, without prior consent.

Are you a CSO or Individual?

Number of CSO Members:

Number of Employees:

Association/Civil Society Network membership:

Has the CSO received support from any other USAID project?
If yes, which project:

NOTE: Please be assured that all information provided will be closely held and not be shared with any other party, for any purpose, without prior consent.

Have you received support from any other USAID project?
If yes, which project:

Are you a CSO or Individual?

Number of CSO Members:

Number of Employees:

Association/Civil Society Network membership:

Has the CSO received support from any other USAID project? If yes, which project:

NOTE: Please be assured that all information provided will be closely held and not be shared with any other party, for any purpose, without prior consent.

Have you received support from any other USAID project? If yes, which project:

Has the CSO received support from any other USAID project?
If yes, which project:

Have you received support from any other USAID project?
If yes, which project: