PWD Registration for Organizations

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Region of Registration

Eastern Region

District of Registration

Suhum Municipal Assembly

Year of Registration

Name of Organization

Username

Password

Confirm Password

Mobile Number

Community

Communities of Operation

Digital Address

Number of PWDs in Organization

Past Fund Beneficiary

YesNo

Past Fund Beneficiary Date

What Support did you receive in the past?

Income GenerationEducation

Health

Past Fund Beneficiary Type Specifics

Do you want to apply for support from the District Assembly Common Fund ( DACF) for your organization ?

YesNo

Purpose of Applying for the Fund (Organizations)

Organizational Development & AdvocacySkills Training

What is the total amount of money required for the the purpose you applied for the fund ?

Please attach supporting documents ( school fees bills, medical bills, etc. )

Please attach supporting documents ( school fees bills, medical bills, etc. )

Click here to upload your supporting documents

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Signature (As a representative of my organization I certify that all answers are true to the best of my knowledge )

Only fill in if you are not human

Suhum Municipal Assembly