Jal Jeevan Mission

JJM - IMIS
Department of Drinking Water and Sanitation Ministry of Jal Shakti (GOI)

JJM - IMIS
Department of Drinking Water and Sanitation
Ministry of Jal Shakti (GOI)

Expression of Interest (EOI) for Sector Partner self-registration Form

Name of the organization*

Registered as * (trust/ society/ not-profit company)

Registration Number, City and State *

Registration date (DD/MM/YYYY)*

Full Name of the head of the organisation*

Full Address of head-office*

State:

District:

Contact Details*

Mobile Number:

E-mail ID:

Which States/ districts in India has the organisation worked*

State: for multiple Selection(Ctrl + Click)

District :

Years of experience in water sector *

Describe work in water sector, esp. drinking water in 100 words*

Areas of work *

Water Resources Management	Rain water harvesting/ recharge
Drinking water	Water economics
Community management	Public health engineering
Capacity building	Information Technology
Awareness generation	Advocacy
Gender and water	Others
Water quality

Organisational structure * No. of employees

Field level:

Programme manager level:

Links *

Website Link:

Social Media Links:

Legal/ other documents (mandatory)

Registration Certificate*( jpg, Jpeg , pdf)

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CV of the organisation head *(pdf, docx, doc)

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PAN, GSTIN/ Service Tax Registration Certificate(pdf, docx, doc)

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Copy of the audited financial statements for last 3 years (pdf, docx, doc)

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Affidavit that the organization is not currently blacklisted by any government department or agency(pdf, docx, doc)

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List of all projects completed or under execution in the last 5 years*

No. of personnel at disposal*

Disclaimer: Registration of an individual/ organisation is for data collection purpose only and does not provide any validation or recognition for the services rendered.

Enter Mobile Number & E-mail ID

Mobile Number: *

E-mail ID: *

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