NGO Nomination Form

APPLICATION INFORMATION

Typewritten, single-spaced responses to the five questions below, which align with the judging criteria. Please do not exceed three pages per response.

Registration No. & Year of NGO with list of trustees.

Whether the organization has been awarded by any other organization/institution?
YesNo

If yes, please specify

What are the major Environmental Concerns within your area of Activity with your NGO outreach?

Has the organization made positive impact on environment through at least one/ more Project/Program?
YesNo

If yes please provide a Summary of the case Study/Initiative/Program/Project within 500 words

Describe the Environmental issues that the case study/initiative/program/project addresses.

Describe the community participation/awareness on the project, if any.

Describe the replicability of practice, outcomes, experience or your case study/initiative/program/project

Discuss the collaborative efforts, if any with other external organization/departments for your case study/project improvement

APPLICATION FORM

Authority Name:

Authority Contact No.:

Name of the Organization:

NGO Address

Authority Mobile

Authority Landline

E-mail Id:

Fax:

Name of the Contact Person:

E-mail Id of the Contact Person:

Colour Photographs, Brochures, Videos, Websites, and/or News Articles Illustrating Organization’s Enrolment in Project Activities need to be submitted on our Email: vnmtvenv@gmail.com. Alternatively, you can also submit the data through Whatsapp on: 9427622606 This should not exceed 15 pages.

Last date of Submission: 10^th September 2020