Annex 9 Application Form for Registration Certificate

Annex 9
APPLICATION FORM FOR REGISTRATION CERTIFICATE
OF OPERATION (REPRESENTATIVE/PROJECT OFFICE)
Concerning issuance, extension, amendment, modification of certificate
1.
2.
3.
4.
5.
6.
7.

Full name of Organization:
Nationality:
Vietnamese counterpart agencies (If available):
Address of Headquarter:
Tel:
Fax:
Email:
Mandate and Objectives:
Financial resources and budget:
Programmes, projects or plans of activities (approved by Vietnamese
competent authorities in case of Rep/Project Office) in Vietnam:
8. Intended locations of operation in Vietnam:
9. Purpose for establishing rep/Project Office in Vietnam:
10.Name of Head of Rep/Project Office or the person authorized by the
relevant INGO :
Date of Birth:
Passport No:
Contact address in Vietnam (Tel, Fax, Email):
11.Number of Expatriate and Vietnamese staff proposed:

12.We are committed to strictly abide by the Vietnamese laws in force as
well as Decree No 12/2012/ND-CP on registration and management
of operations of INGOs in Vietnam
Done at..., date.....................
Signature of applicant
stamp
(Full Name)