1. | Name of the Organisation | : | |
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Registered Office Address of |
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the Organisation |
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Registration No. and date of |
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Registration under the Societies Registration Act (Attached Photo Copy of Registration Certificate)
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4. | The Organisational Set up of the Organisation | : | |
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NAME |
PROFESSION |
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TELEPHONE |
President/ Chairman |
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General Secretary/ Secretary |
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Other Office Bearers |
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5. | Total strength of Membership | : | |
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6. | Name and Address of the | : | |
| Bankers with account Nos | | |
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7.. | Year-wise details of the Grants | : | |
| Received from CILAS/NALSA/Other sources.(for the last five years). | | |
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8.. | Details of the audited accounts | : | |
| Rendered/Utilisation Certificates Issued to NALSA/CILAS for the Last five years (attached Attested Photo copies thereof) | | |
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9.. | Name of the State/District | : | |
| which is covered by the activities of the Organisation. | | |
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10. | Details of the Legal | : | |
| Literacy/Legal Awareness/undertaken by The Organisation so far (Please Use a separate sheet). | : | |
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11. | Legal Awareness/Legal Aid | : | |
| Programme was given any Press coverage? If So, attach Photo copies of the press Clippings. (if the press coverage is in vernacular or local language, Please attach English translation thereof) | | |
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12. | Photo Copies of the Audited |
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| Accounts of the Organisation for the last Three Years
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Date: | Signature with name & Designation of the Authorised Signatory. |
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13. | Recommendations/ | : | |
| Observations of the State Legal Services Authority About the benefices, working capacity and Potentiality of the organization w.r.t. implementation of the various Legal Aid Programmes.(to be issued with the approval of Hon'ble Executive Chairman of State Legal Services Authority). | | |
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14. | Names of the Judicial Officers/ | : | |
| Legal Aid Functionaries of the District / Taluk who are to Monitor Programms, if Supported by NALSA. | | |
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15. | Accreditation Number allotted | : | |
| by the State Legal Services Authority | | |
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Date: | (Signature of Member Secretary, State Legal Services Authority). |
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Note : State Legal Services Authority to send the Original Accreditation Form to NALSA Office after retaining a copy thereof in their office for record and reference purposes. |