Application Form of the Youth Network on MDG (Madagasdar)

1	Information on your organisation *Please explain why your organisation is eligible to be a Member Organisation for C-CfA.				(E.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	The youth network on MDG (millennium development goals) was established in December 2005 during the youth national forum on employment. His aim is to implement young people to work with all actor of development of our country as a citizen to reach the MDG There are 600 youth’ associations in this network and our activities are focused around the followed theme :health and HIV/AIDS, economical and private sector, environment, sports for development, solidarity, good governance, poverty We don’t have yet our own budget but we try to advocate with united nations system in our country and they financed our activities following their priority About a human resource, we have different skills in our member: communication, manager, leader, lawyer, volunteers, consultant junior, etc.
2	Name, position and contact of a person who is in charge of this commission
	Name: Mr. Rado RAKOTOARINALA Position within the organization: National Coordinator of youth network on MDG (millennium development goals) e-mail address: [e-mail] Telephone: [phone]                           Fax: [phone] Skype name: *Please attach her/his CV.
	Reason why he/she is eligible to be in charge of a representative of your organization
	He has already represented the youth in different international meeting: In 2001 in Dakar for the 4th youth world forum of the united nations, in 2002 in New York at the session special on children, in 2003 in Kigali Rwanda at the 2nd youth pan African forum on HIV/AIDS, in 2005 in Morocco at the youth pan African summit on MDG, and last year at the global summit on MDG in New York, so he has any experiences to share and well placed to represented the civil society mainly the youth which represent more than 60% in Madagascar and he is always credible towards partners
3	Budget allocation for becoming a Member Organisation of C-CfA					e.g. its amount and how to be spent (in USDollar)
	500USD It is for the cost of telephone, internet and the meeting and transport with NGO in Madagascar for this year
4	List of NGOs that recommend your organisation to represent them		*Please fill out at least 10 names of organizations. *Contact should be postal address, telephone number and e-mail address (Website URL, if there is).
	Name1	APJM	Contact	IIC 12 Ampandrana Ouest, Antananarivo, Madagascar [phone] [e-mail]
	Name2	MAJ/FISA	Contact	23 D Ter Ambatomitsangana, Antananarivo Madagascar, tél. [phone] [e-mail]
	Name3	COM’PACT	Contact	Volosarika Ambanidia,Antananarivo Madagascar ,tél. [phone], [e-mail]
	Name4	ASU Toliara	Contact	Bloc 20Maninday BP 390 Toliara 601 SASSC,tel. [phone], [e-mail]
	Name5	Vintsy Filamatra	Contact	Bateravola Fianarantsoa, Lot 3604 IV 005 Lycée Rahenivelo Ramamonjy, tél. [phone],[e-mail]
	Name6	JEC TAMPIKRI	Contact	Lot 353 Cité Tsaramandroso Mahajanga 401, Tél.[phone], [e-mail]
	Name7	MDG network in Diego	Contact	RNM, TVM, diego, Velomanana Jean Claude, te l. [phone]
	Name8	PROJARTA	Contact	Tolotra,Lot 2A Plle 12/11 Tanamakoa 501 Toamasina,  [e-mail]
	Name9	Aina Fanilo	Contact	Lot 23 K 237 P Antananmbao Lycée Antsirabe 110, [phone],  [e-mail]
	Name10	AJMF	Contact	Lot 306 A/3702 Andavale Fianarantsoa, [phone], [e-mail]
	Name11	CLP PASIJ Reseau Majunga	Contact	Jesuelle, lgt 355 Cité Tsaramandroso, majunga 401, tél. [phone], [e-mail]
	Name12	YMCA Carion	Contact	INJ Carion MAnjakandrinana 116, Antananarivo Madagascar , [phone], [e-mail]
	Name13	MEM	Contact	Eglise Luthérien 67ha
	Name14	JIM	Contact	Bloc I N° 97 MAnjarisoa MAjunga, tel. [phone], [e-mail]
	Name15	Réseau Toamasina	Contact	Rindra, société SOMATRAFER Gare Tamatave, Tél.[phone], E.mail:[e-mail]
	Name 16	the Center Sembana Mijoro	Contact	Ms RAZAFINJATO Fela, [e-mail] 261 20 33 11 574 73
* You may add more names of organizations if there are more organizations that are recommending your organization.