Name of the Church or Organisation:

Address:

What type of group?
Church Society Trust Mission Agency  
Name of Pastor/President/Chief Executive:

Year church/organisation was founded:

Denominational Affiliation:

Telephone No: Office

Fax No: Office

Office E-mail Address:

Best mailing address for communication:

Your name:

Telephone No: Res

Fax No: Res

Mobile Phone Number:

E-Mail Address:

The goals or purpose of church, ministry, or organisation:

No. of Workers:
(a) Full Time: (b) Part Time:
If church, total number of members:

States in India where your workers are involved:

No. of people ministered to through the Church/Organisation:

Do you have FCRA Registration No.?:
Yes No