Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 448 views

    CBO Registration Form

    Uploaded by

    kainongepaul
    This document outlines the application form and requirements for registering a community-based organization (CBO) in Kenya. It requests information such as the CBO's name, area of coverage, membership details, management committee, objectives, activities, and future plans. It also lists the requirements for registration, which include submitting meeting minutes, a member list, the CBO's constitution, ID copies, an MOU if the CBO was formed through amalgamation, original certificates if affiliating, and a registration fee. Registered CBOs must renew their certificate annually, submit quarterly reports, and allow government access to their records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CBO Registration Form

    Uploaded by

    kainongepaul
    448 views6 pages
    This document outlines the application form and requirements for registering a community-based organization (CBO) in Kenya. It requests information such as the CBO's name, area of coverage, membership details, management committee, objectives, activities, and future plans. It also lists the requirements for registration, which include submitting meeting minutes, a member list, the CBO's constitution, ID copies, an MOU if the CBO was formed through amalgamation, original certificates if affiliating, and a registration fee. Registered CBOs must renew their certificate annually, submit quarterly reports, and allow government access to their records.

    Original Description:

    Any

    Original Title

    CBO-Registration-Form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document outlines the application form and requirements for registering a community-based organization (CBO) in Kenya. It requests information such as the CBO's name, area of coverage, membership details, management committee, objectives, activities, and future plans. It also lists the requirements for registration, which include submitting meeting minutes, a member list, the CBO's constitution, ID copies, an MOU if the CBO was formed through amalgamation, original certificates if affiliating, and a registration fee. Registered CBOs must renew their certificate annually, submit quarterly reports, and allow government access to their records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    448 views6 pages

    CBO Registration Form

    Uploaded by

    kainongepaul
    This document outlines the application form and requirements for registering a community-based organization (CBO) in Kenya. It requests information such as the CBO's name, area of coverage, membership details, management committee, objectives, activities, and future plans. It also lists the requirements for registration, which include submitting meeting minutes, a member list, the CBO's constitution, ID copies, an MOU if the CBO was formed through amalgamation, original certificates if affiliating, and a registration fee. Registered CBOs must renew their certificate annually, submit quarterly reports, and allow government access to their records.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 6

    Revised in October, 2022

    CBO NEW

    MINISTRY OF LABOUR AND SOCIAL PROTECTION


    STATE DEPARTMENT FOR SOCIAL SECURITY & PROTECTION
    DIRECTORATE OF SOCIAL DEVELOPMENT

    APPLICATION FORM FOR REGISTRATION OF A COMMUNITY BASED ORGANIZATION (CBO)


    AS PER THE COMMUNITY GROUPS REGISTRATION ACT, NO. 30 OF 2022.

    COUNTY CONSTITUENCY SUB-COUNTY WARD

    1. (a)Basic Information of the Community Based Organization (CBO)

    Name of Community Based Organization…………...........……........................................................................

    Type of CBO (Tick one) □ New □ Amalgamation


    If Amalgamation, (list the forming groups).

    1. Registration No. …………………………………………Group name……………………………………..

    2. Registration No. …………………………………………Group name……………………………………..

    (If more than 2 groups attach a separate list)

    Area of Coverage (not more than one county)……………………………………………………….....……


    Division………………………………...................... Location…………………………………………..…
    Sub Location………………………………………. Year of Formation…………………………………..
    Postal Address…………………………………….. Physical Address……………………………………
    Email……………………………………….……….. Telephone……………………………………………
    Website (where applicable)……………………………………………………………………………………

    1
    (b) Who mobilized your members to seek official registration?
    □ Self
    □ Officer from social development office
    □ Other ministry`s staff
    □ CBO
    □ NGO
    □ Chief
    □ Others………….Indicate the person/official

    2. Official Meetings

    Meeting Venue…………………..........…….... Meeting Day(s)……….............Time..................................

    3. Membership of the CBO


    Female Male Intersex Total
    Total Number of members at
    the time of registration
    Number of Persons with
    Disabilities (PWDs)
    Number of Youth (18-35
    years)
    Number of Older Persons (60+
    years)
    TOTAL

    4. Management Committee
    Date elections were conducted:……………..................Method of voting:………………………………..
    Elections Venue:……………………..Supervised By:…………………………………Title:…………………
    Contact Address/Tel. No:…….…………………Confirmed by:………………………....……………………
    Title:....…….……………. Contact Address/Tel. No:…….………………………………..
    No Position Name of Person F M ID/No. Tel/Email Signature
    1. Chairperson
    2. Secretary
    3. Treasurer

    4. V/Chairperson

    5. V/Secretary

    Committee
    6.
    Member
    Committee
    7.
    Member
    *Attach a separate list of all committee members if more than seven (7)
    2
    5. CBO Project Objectives

    i...……………………………….....................................................................................................................................

    ii………………………………...........................................................................................................................

    iii………………………………………………………………………………………………………………..

    6. Activities of the CBO


    a) Type of activity(ies) - tick as appropriate
    1. Community project
    2. Community Empowerment
    3. Community Advocacy
    4. Crop farming
    5. Cultural/traditional activities
    6. Environment Conservation
    7. Financial services
    8. Fishery
    9. Health care
    10. Livestock rearing
    11. Poultry keeping
    12. Skills development
    13. Tourism
    14. Youth empowerment
    15. Merry-go-round
    16. Table banking
    17. Other(s)

    b) Specify the main activity

    ……………………………………………………………………………………………………………….

    7. Future Plans/Activities (if any)

    i. ……………………………......................................................................................................................

    ii. .……………………………….... ………………………………………………………………………

    iii. ………………………………...................................................................................................................

    3
    8. Assistance from the Government/Other Organization(s)

    Assistance received so far ……………............………..

    Type (Can Tick multiple) □ Financial □ Technical □ Material


    Source of Assistance......………………………………….....................……...........................................

    How does the CBO intend to fund its activities?

    □Members Contributions □Loans □Donations □Grants □Others……………………......................


    9. Applicants Signature

    Position □ Chairperson □ Secretary □ Treasurer


    Chairperson
    Name……………………………………………… Telephone…………………………………………
    Signature…………………………………………. Date……………………………………………….

    Secretary
    Name……………………………………………… Telephone…………………………………………
    Signature…………………………………………. Date……………………………………………….

    Treasurer
    Name……………………………………………… Telephone……………………………………………
    Signature…………………………………………. Date…………………………………………………

    4
    FOR OFFICIAL USE
    1. Recommended by

    □ NGAO Officer(Mandatory)

    Name…………….................................................Location/Sub-location ………………………………

    Signature ……………...........................................Date ..................................Stamp………..…………..

    □ Relevant Technical Ministry/Department

    Name of the Officer……………………………………..Title…………………………………………….

    Signature …………………………..Date………………………… Stamp……………………………….

    2. Approved and Registered by the County Coordinator/ Sub-County Officer for Social Development*
    Name……………........................................Title:…………………….…………

    Signature………………………………....Date………………………………..Stamp……………….

    5
    REQUIREMENTS FOR REGISTRATION OF A CBO
    1. Name search

    2. Minutes of the meeting seeking registration and showing elected officials MUST be attached to the
    Application form.

    3. List of members duly signed with Name/Position/ID No./Mobile No. and Signatures MUST be
    attached to the Application form.

    4. The Application form MUST be accompanied by the CBOs Constitution.

    5. Attach ID Copies of all members

    6. The Application form MUST be accompanied by a Memorandum of Understanding (MOU) where


    CBO is formed through amalgamation (i.e. where several groups come together to form an umbrella
    organization).

    7. Attach the original certificates of the affiliate group who are amalgamating.

    8. Pay Approved Registration fee of Ksh.5, 000/=.

    After registration, the CBO MUST adhere to the following;


    i. Renew the Certificate Annually
    ii. Submit Quarterly Progress Reports to the Registering Authority
    iii. Allow accessibility of records to the Registering Authority upon request or when demanded to do so

    NOTE: Failure to adhere to the above requirements will lead to Non-registration/De-registration

    You might also like