Tamil Nadu Dowry Prohibition Rules, 2004

Form IV

[See Rule sub-rule (2).]

Form of Application for Recognition of Welfare Institution / Organisation.

1. Name of the Welfare Institution / Organisation	:
2. Full Address	:
3. Aims and Objectives	:
4. Name and address of the Head of the Institution / Organisation	:
5. Brief account of its activities	:
6. Justification for granting recognition	:
7. Has any such application been made Previously, if so its results together with its date, Month and Year	:
8. Any other particulars	:
Enclosures
(1)
(2)
(3)

Place:

Date:

Signature of the Head of the
Welfare Institution / Organisation.