NANGO INFORMATION FORM

Note:	
•	Please fill in as much information as you can provide!
•	Please use capital letters and fill in clearly when using handwriting!
•	Please send the filled out form to us by November 20th !

Postal Address:		
NANGO – National Association of Non-Governmental Organisations
P.O. Box CY 250,
Causeway,
Harare

E-Mail Address:	 nango_zimbabwe@yahoo.co.uk 

1. Full Name of the organisation	

	
2. Physical Address	

	
3. Postal Address	

	
4. Telephone Number (including area code)	

	
5. Fax Number (including area code)	

	
6. E-Mail Address/ Website	

	
7. Registration number (PVO) / Trust deed Number	

	
8. Establishment of your organisation	

YEAR: ______________________________

IN WHICH COUNTRY: _________________________________

	
9. Areas of operation	

	
10. Your Mission Statement

	

	

	

11. In what sectors are you specialized in - make a cross behind your category ( Multiple answers possible)	

Academic

Activism

Advocacy

Agriculture

Animal Rights

Arts Awareness

Breastfeeding Awareness

Business

Business Support

Capacity Building

Children/Youth

Citizens Rights

Civic Rights

Civil Awareness

Communication

Community Development

Culture

Development

Disability

Discussion

Documentation

Economics
	
Education

Elderly

Empowerment

Environment

Environment Awareness

Film

Financing

Food Relief

Gender

Health

HIV/AIDS

Human Rights

Information Dissemination

Literacy

Media

Micro Finance

Minority Rights

Music

Networking

NGO-Network

Political Awareness

Politics
	
Poverty Alleviation

Professional

Provincial Skills

Publication

Relief

Religion

Research

Rural Development

Skills Training

Small Scale Development

Social Awareness

Students

Training

Volunteer Service

Women

Workers Rights

Youth

OTHER:

12. Are you a paying NANGO – Member?	

YES □
NO □
	
13. Do you want to appear in the up-coming NANGO – Directory?	

YES □
NO □
	
14. Please answer if you are a local or international NGO?		

Local NGO

International NGO

THANK YOU VERY MUCH FOR YOUR PATIENCE !!!