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* Required Fields
Name & Designation of person submitting the application
Name of Organization*
Contact Address*
Telephone* Fax
Organizational email*
Branch Office: (if any, please state the contact details)
Name of Head of Organization* Designation*
Address, if different from above
Email* Telephone*
Name of Primary Contact Person*
Email* Telephone*
Year Established*
Nature of organization (registered or unregistered etc. If registered then what is the form of its registration?) (500 characters left)
Branch offices, if any
Vision, mission and goals (500 characters left)
Main programs and activities
(including geographical coverage)
Membership in other networks (500 characters left)
Key achievements in working with youth
How does your organization relate to liberal principles in its vision, mission, activities?
(500 characters left)
How did you hear about LYF? From a LYF member
From the website
From email/other notice
Any other (Please specify) 
What are your expectations from LYF?
What skills/contributions would you like to make to the Liberal Movement through LYF? * Working with the Campus Pulse Project
Writing for the LYF Newsletter and Blog
Communication and media planning
Design publicity material
Volunteering on project basis
Any other (Please specify)
How would you like to pay your LYF membership fee?* Courier Cheque to LYF
Electronic Transfer to LYF
Cash in person to LYF
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Enter Verification Code *
My organization agrees to become a member of LYF and follow its policies.
Note: Completion of this application does not guarantee being accepted a member. The application along with the letter of intent will be reviewed by the LYF Core Committee. LYF will contact you within a month upon receipt of your application.