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00 NPO APPLICATION FORM 2020Association for Non Profit Organisations NPCReg: NO: 2011/060467/08Registered in terms of Section-21 Companies03A division of Msamanzi Neimud & Associates Mentors – NPO No: 054-456NEW APPLICATION FORNPO ORGANISATION (NPO)Please note that this application is for registering your organisationwith the Directorate of Non Profit Organisations.On registration you will receive an NPO certificate and a six digitregistration number eg:(123-456NPO)It may take about 8 weeks or more for your organisation to beregistered, depending on the volume of work at NPO Directorate.The Association for NPO’s will submit your application on line with in7 day of receipt.NPO.ORG will prepare a standardised constitution that has all theclauses as required by the Directorate. You may attach yourconstitution if you have one.23 Loveday Street,Howard House,1st FloorMarshalltown,Johannesburg 2001P.O. Box 90291,Bertsham 2013,South AfricaTel:011-838-4155Fax:086-682-2238Office npo.org.zaREGISTRATION FEERegistering an NPO with the Directorate of NPO’s is FREE.The Association will charge R350 to register an NPO on behalf of thepublic, This fee cover all administration cost, constitution and internetfees.Please complete in full (pages 2, 3,4,6, page 7 must be signed by at least3 members of the committee.COMMITTEE MEMBERSMember of the committee (page 4) must not be less that (3) five.Please do not register member with same surname.FINANCIAL YEAR ENDWe prefer to set the Financial Year end as 31 March, to go in linewith SARS IT12IE Returns, NPO Reports as well as other Grantinstitutions.REGISTRATION MAY TAKE UP TO 8 WEEKSOR MORE DUE TO LOCKDOWN ISSUESPLEASE NOTE: NPO CERTIFICATEONCE REGISTERED YOU WILL RECEIVE NPO NUMBER,YOU WILL BE NOTIFIED TO COLLECT THE CERTIFICATE FROMSOCIAL DEVELOPMENT IN YOUR TOWNAFTER 6 WEEKS OF REGISTRATION.*******************In association with:Msamanzi & AssociatesAccountantsSponsors: IPSA (cips.org) MSAMANZI F.S. SGAFC (Auditors)POST TO: NPO.ORG.ZA, P.O. BOX 90291, BERTSHAM, 2023OR DELIVER TO: 23 LOVEDAY STREET, 1ST FLOOR, HOWARD HOUSE, JOHANNESBURG, 2001SCAN THE FORM AND PROOF OF PAYMENT - EMAIL TO: DUMIE@ABSAMAIL.CO.ZACHEQUES OR PAYMENTS MADE TO: ASSOCIATION FOR NON PROFIT ORGANISATIONS. FNB * ACC No: 6242-4330-554 – BRANCH: DUNDEE

DEPARTMENTOFSOCIAL DEVELOPMENTName of the organisation:.Objectives: .APPLICATION FOR REGISTRATIONBY ANON PROFIT ORGANISATION.Reproduced as per specimen - G.P.S 021-0065 Dept of Social Development by: – Msamanzi Neimud & Associates cc2

APPLICATION FORREGISTRATION BY ANON PROFIT ORGANISATIONREAD THIS FIRSTWHAT IS THE PURPOSE OFTHIS FORMThis form is an application by anon profit organisation forregistration. Registration isvoluntary. If the nonprofitorganisation complies with therequirements for registrationthen the Director for NonprofitOrganisations will enter itsname in a register and send it acertificate of registration.WHICH ORGANISATIONMAY APPLY FORREGISTRATION?Organisations such as trusts,companies or otherassociations established for apublic purpose whose incomeand property are nondistributable to its members oroffice-bearers except asreasonable compensation forservices rendered.WHO FILLS THISFORM?The office-bearer responsiblefor managing the nonprofitorganisation1. ORGANISATION DETAILSName of Organisation .Physical Address: . . . .Postal Address . . . .WHERE DOES THISFORM GO?To: Directorate for NonProfitOrganisationsPrivate Bag X901PRETORIA0001Tel: () .Fax:() .Email: ORHuman Science ResearchCouncilFifth Floor (South)134 Pretorious StreetPRETORIA0001Date of Financial Year End: 31 March each yearOTHER REQUIREMENTS?Two copies of the nonprofitorganisation’s constitution mustaccompany this form.3

4Surname: .AddressBusiness: . Residential: . .Surname: .AddressBusiness: . Residential: . .Residential: .Residential: .Capacity in Organisation: (H) Email: Capacity in Organisation: (H) Email: . ID Number: Contact Details) .(W): . Fax(Surname: .AddressBusiness: .Surname: .AddressBusiness: . .Name(s) Name(s) ID Number: Contact Details) .(W): . Fax(Capacity in Organisation: (H) Email: Capacity in Organisation: (H) Email: ID Number: Contact Details) .(W): . Fax(Name(s) Name(s) ID Number: Contact Details) .(W): . Fax(Capacity in Organisation: (H) Email: Capacity in Organisation: (H) Email: .Residential: .Residential: .ID Number: Contact Details) .(W): . Fax( .Surname: .AddressBusiness: .Surname: .AddressBusiness: .ID Number: Contact Details) .(W): . Fax(Name(s) Name(s) separate page and attach to this form2. PARTICULARS OF OFFICE BEARERS (if you have more office bearers than is provided for on this page, please include the particulars of these office-bearers on a

3. REQUIREMENTS FOR REGISTRATION OF ORGANISATION’S CONSTITUTION(1) Compulsory requirements for registration in terms of section 12 (2):(a) Each requirement from (a) – (o) must be reflected on the constitution. If the requirements are not satisfiedthe director will not register the non-profit organisation.(b) Indicate in columns 2 where in your organisation’s constitution the requirements listed in column 1 areprovide olumn 1Column 2REQUIREMENTS FOR REGISTRATIONAPPLICABLEREFERENCE INCONSTITUTIONOrganisations’ name(s)Organisation’s main and ancillary objectivesOrganisation’s income and property are not distributive to its members oroffice bearers, except as reasonable compensation for services rendered.Provision for the organisation to be a body corporate and have an identityand existence distinct from its members of office.Provision for the organisation’s continued existence notwithstanding changesin the composition of its membership or office-bearers.Members or office-bearers have no rights in the property or other assets ofthe organisation solely by virtue of their being members or office-bearers.Powers of the organisation.Organisational structures and mechanism for its governance.Rules for convening and conducting meetings, including quorums requiredfor and the minutes to be kept of those meetings.Manner in which decisions are to be made.Provision made for the organisation’s financial transactions to be conductedbe means of banking account.Date for the end of organisation’s financial year.Procedure for changing the constitution.Procedure by which the organisation may be wound up or dissolved; andProvision that, when the organisation is wound up or dissolved, any assetsremaining after all its liabilities have been met, must be transferred toanother non-profit organisation having similar objectives.1.137, (7.2) (7.4)2 (2.1) (2.2)2.17.454.1668.18.39 to 9.110.110.2(2) Optional provisions in terms of section 12 (3):(a) These provisions are optional (i.e) not compulsory) but desirable, as they strengthen the governanceprocedure in the constitution.(b) Indicate in column 2 where in your organisation’s constitution the provisions listed in column 1 are located.(a)(b)(c)(d)(e)(f)(g)(h)Column 1Column 2OPTIONAL PROVISIONS FOR REGISTRATIONAPPLICABLEREFERENCE INCONSTITUTIONQualifications for and admission to membership of the organisation.Circumstances in which a member will no longer be entitled to the benefits ofmembership.Provisions for termination of membership.Provision for appeals against loss of the benefits of membership or againsttermination of membership. The procedure for such appeals and the body towhich such appeals may be made.Provisional for membership fees and matters determining fees and otherpayments by members.Provision that members or office-bearers do not become liable for anyobligation and liabilities of the organisation solely by virtue of their status asmembers or office-bearers of the organisation.Provision for the appointment of office-bearers and tabulating of theirrespective functions.Procedure for nominating, electing or appointing office-bearers.5

(i)(j)(k)(l)(m)Column 1Column 2OPTIONAL PROVISIONS FOR REGISTRATIONAPPLICABLEREFERENCE INCONSTITUTIONCircumstances and manner in which office-bearers may be removed fromoffice, provision for appeals against such removal, procedures for suchappeals the body to which such appeals are to be made.Provision that office-bearers are not personally liable for any loss suffered byany person as a result of an act or omission, which occurs in good faith whilethe office-bearer, is performing functions for or on behalf of the organisation.Provision for making investments.Purpose for which the funds of the organisation may be used.Provision for acquiring and controlling assets.4. ADDITIONAL INFORMATION REQUIREDThe completion of this part of the application form is not compulsory. The Directorate for Nonprofits Organisations seeksthis information for the administrative, background and research purpose. Your application will not be prejudiced if this partof the application form is not completed.Date when organisation was established: .Organisation’s area of operation:Geographical: .Sector: Is the organisation affiliated to any other body or structure? (if yes, please specify the name and contact details of this bodyor structure) 5. DECLARATION BY PERSON SUBMITTING THIS APPLICATIONI, the undersigned, declare that I am dully authorised by my organisation to complete and submit this application and thatthe information contained in this form is t the best of my knowledge correct.Name(s) Signatures: .Capacity: .Date: .6. DUTIES OF REGISTERED NON-PROFIT ORGANISATIONSOnce your organisation has been registered it must(a)(b)(c)(d)(e)(f)reflect its registered status or registration number on all its documents – section 16 (3)keep accounting records – section 17 (1) (a);draw up financial statements – section 17 (1) (b)arrange for an accounting officer to prepare a written report – section 17 (2).Preserve its books of account, supporting vouchers, membership records and financial documents –section 17 (3)Submit the Director of Non-profit Organisation.(i) a narrative report – section 18 (1) (a);(ii) details of any changes of its office-bearer – section 18 (1) (b)(iii) details of any changes of its address at which it will receive documents – section 18 (1) (c)(iv) details of any changes in its constitution or its name – section 19.6

SECTION 10ADOPTION OF THE CONSTITUTIONThis constitution was approved and accepted by members of the . .SPECIAL RESOLUTIONMinutes of Special Meeting of the Management Committeeheld at on the Present: Members of the management CommitteeAgenda: SIGNING OF LEGAL DOCUMENT AND OPERATING OF FINANCIAL ACCOUNTSThe chairperson declares the meeting, as properly constituted, duly called, for the specific purpose of Adopt a new Constitution.SPECIAL RESOLUTION: Further give powers and authorisation to the Chairperson and the General Secretaryto initial, attach their signatures to the constitution, legal documents, bank and financial record transactions onbehalf of members of the committee.Chairperson: . Sign: . Date: .NameSecretary: . Sign: . Date: .NameTreasurer . Sign: . Date: .NameGoverning Body Member . Sign . NameDate: . Governing Body Member . Sign . NameDate: . Governing Body Member . Sign . NameDate: . 7