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Form test
Utkarsha Nepal – Membership Application Form
Partnership Form
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Partnership Form
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Step
1
of 6
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Organization/Company Name
Registration Number
Country of Registration
Organization Type
NGO
Private Company
Government
Others
Country of Registration
Number of Employees/Volunteers
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Official Website
Social Media Links
Facebook
Instagram
LinkedIn
Others
Primary Sector/Area of Work
Next
Contact Person Details
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Full Name
Designation/Role
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Email Address
*
Contact Number
Alternative Contact (Optional)
Next
Partnership Proposal
Proposed Type of Partnership (select all that apply)
Financial Support
Resource Sharing
Event Co-hosting
Technical Expertise
Volunteer Engagement
CSR Collaboration
Others (Please Specify)
Brief Description of Proposed Partnership or Initiative
What are your expectations from Utkarsha Nepal ?
What support can your organization offer?
Next
Additional Information
Preferred Duration of Partnership
One-time Event
3–6 Months
6–12 Months
Long-term/Indefinite
Geographic Focus of Partnership
Kathmandu
Pokhara
Province-wise (Specify)
National Level
International
Are there any legal, compliance, or NDA (Non-Disclosure Agreement) considerations?
Yes
No
Do you require Monitoring & Evaluation reporting from Utkarsha Nepal?
Yes
No
Monthly
Quarterly
Annually
Preferred Mode
Preferred time
Preferred Mode
Email
Whatsapp
Phone
Others
Next
Previous Collaboration (Optional)
Please mention any past partnership, project, or event jointly organized with Utkarsha Nepal (if applicable)
Supporting Documents (File Uploads)
Layout
Organization Registration Certificate
Click or drag a file to this area to upload.
Recent Annual Report or Activity Overview
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Logo in High Resolution
Click or drag a file to this area to upload.
Partnership Proposal/Letter of Intent
Click or drag a file to this area to upload.
Scanned Signature and Organization Seal (optional)
Click or drag a file to this area to upload.
Next
Declaration & Consent
I hereby declare that the above information is accurate to the best of my knowledge.
I consent to Utkarsha Nepal storing and processing this information for partnership purposes.
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