Charity Application

Charity Organisation Application

Fill out this form to apply for DuexMedia's verified charity list. Once approved, campaigns can raise funds on your behalf.

Organisation Information

Charity / Organisation Name *

Registration Number (CAC or equivalent)

Year Established

Organisation Type *

Mission Statement *

Organisation Description *

Contact Information

Contact Person Full Name *

Position / Role *

Email Address *

Phone Number *

Office Address *

State *

Country *

Verification Documents

Provide links to your documents. Upload them to a cloud storage (Google Drive, Dropbox, etc.) and paste the public link.

CAC Certificate *

CAC Status Report

Government-issued ID of Representative *

Proof of Address

Organisation Logo *

Banking Information

Account Name *

Bank Name *

Account Number *

Online Presence

Website

Facebook Page

Instagram Page

X / Twitter

Donation Preferences

Categories you support * (select all that apply)

Medical

Education

Emergency Relief

Orphan Support

Religious

Community Projects

Sports

Legal Aid

Other

DuexMedia-Specific Questions

Why do you want to join DuexMedia? *

Have you previously run fundraising campaigns online?

Expected monthly fundraising volume

Need help with your application?

Chat with Duex