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    CAVAN PUBLIC PARTICIPATION NETWORK REGISTRATION FORM Name of Applicant Organisation. Chairperson. _____________________________ Secretary. Address for Correspondence. Phone No. _______________________________ 5. Number of Members. ___________________ Date of last Annual Meeting. Name of Elector for PPN.

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    CAVAN PUBLIC PARTICIPATION NETWORK REGISTRATION FORM Name of Applicant Organisation. Chairperson. _____________________________ Secretary. Address for Correspondence. Phone No. _______________________________ 5. Number of Members. ___________________ Date of last Annual Meeting. Name of Elector for PPN.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    252 views2 pages

    CPPN Group Affiliation Form

    Uploaded by

    api-264638229
    CAVAN PUBLIC PARTICIPATION NETWORK REGISTRATION FORM Name of Applicant Organisation. Chairperson. _____________________________ Secretary. Address for Correspondence. Phone No. _______________________________ 5. Number of Members. ___________________ Date of last Annual Meeting. Name of Elector for PPN.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    CAVAN PUBLIC PARTICIPATION NETWORK REGISTRATION FORM

    1.

    Name of Applicant Organisation.


    _____________________________________

    2.

    Chairperson.
    _____________________________________

    3.

    Secretary.

    Address for Correspondence.

    _____________________________________

    _____________________________________
    _____________________________________
    _____________________________________
    Email

    _____________________________________

    Phone No. _____________________________________


    5.

    Number of Members.
    ___________________

    6.

    Is Membership open to everyone?


    ___________________

    7.

    Date of last Annual Meeting.


    ___________________

    8.

    Name of Elector* for PPN


    _____________________________________
    Address:

    _____________________________________
    _____________________________________
    _____________________________________

    Phone No. _____________________________________


    9.

    Municipal District: Cavan-Belturbet [] Ballyjamesduff [] BailieboroughCootehill []

    10.

    Brief description of work of organisation:


    _________________________________
    ___________________________________________________________________
    ___________________________________________________________________

    11.

    Which of the following categories would best identify the work of your
    organisation:1

    (i) Environmental
    (ii) Social Inclusion
    (iii) Community & Voluntary

    []
    []
    []

    Return to Daniel Downey, Cavan Community Forum, Cana House, Farnham


    Street, Cavan Town.
    Or email to cavanppn@gmail.com
    www.cavancommunity.ie 0863512308 cavanppn@gmail.com Cana House,
    Farnham St. Cavan Town
    *person to speak for/vote on behalf of your group at community
    meetings/elections.
    ** Groups details may be used on our online database for
    volunteers/community members to contact you. Should you not wish your
    details to be publicly available please tick here []

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