Application for Full Membership of Workability Asia

1. Details of applying organization:
2. Short description of your organization (Legal status, History, Structure, Vision, Mission, Aims, Main areas of activity, Work and employment services, etc.)
3. What motivates you to apply for membership of Workability Asia?
4.Annual total turnover including grants and subsidies from national/local authorities and sponsors. If umbrella organization, give total figure for the umbrella (in US$).
5. To how many people (with disabilities) does your organization provide work and/or employment services per year? If umbrella organization, give total figure for the umbrella:
6. How many paid staffs and volunteers does your organization have? How many Persons with disability?
7. Membership fee and the Solidarity Fund:
Annual membership fee is US$100.00. Other than the membership fees the Solidarity Fund is to make it more viable and sustainable the activities of Workability Asia. The Solidarity Fund is your voluntary contribution. One unit of the Fund is US$100.00.
8. Authorized signatory:
9. Our Bank Account:
Bank Name: BANGKOK BANK PUBLIC LTD., Banglamung Branch
Name: The Redemptorist Foundation for People with Disabilities for WAsia
Account Number: 342-4-75838-5
Swift Code: BKKBTHBK (www.bangkokbank.com)
Bank Address: Pattaya City, Chonburi, Thailand
Tel: (66 2) 645-5555
10. Please email your latest annual report and/or brochure of your organization with your application to: Ms. Nayantara Janardhan
Email: nayantara@enableindia.org
Website: www.workabilityasia.org

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