The International Council of Evangelical Churches

Name of the Church / Organisation / Society / Trust :

Address :
City :		State:
Country :		Zip Code
Year it was founded :
Telephone No: Off
Telephone No: Res
Fax No: Off
Fax No: Res
e-mail address:
Name of the Pastor / Chief Executive Officer:

Denominational Affiliation:

Nature of Ministry:

No of Workers:
Full time:		Part time:
If church, total number of members:

Places in India where your work is underway:

No. of people helped through your Church/Organisation:

Do you have FCRA Registration No: YES NO

Enter the details of two Christian References:

Reference 1: Name:		Reference 2: Name:

Phone:		Phone:

email:		email:

Address:		Address: